Lifecare Specialty Clinic, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIFECARE SPECIALTY CLINIC, INC

Practice address

3880 Coconut Creek Pkwy Ste 100
Coconut Creek, FL 33066-1643

Phone

(954) 388-5850

NPI assigned

Nov 4, 2020

Last updated

Feb 15, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Luis A Rocha

Title

Ceo

Phone

(954) 388-5850

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1073114211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565338",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332565338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 COCONUT CREEK PKWY STE 100",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661643",
            "telephone_number": "954-388-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE SPECIALTY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-388-5850"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Ann Nicole Levy, PMHNP
• Rose Marie Lewis, DNP,ARNP-FNP-BC
• Mark Lichtenberg, LMHC
• Melanie Christine Lieberman
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• Teionna Likely, LCSW
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• Kristin Lima
• Aaliyah Lindsay

• Family Medicine Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.