Lifestyle Health Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC7280 Issued in FL

Legal business name

LIFESTYLE HEALTH INC

Practice address

2311 10TH Ave N
Suite 9
Lake Worth, FL 33461-6605

Phone

(561) 586-5326

Fax

(561) 586-7237

NPI assigned

Jul 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rene Casanova, M.D.NPI 1689646440

Title

President

Phone

(561) 540-4446

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Casanova, M.D.

  • General Practice Physician
  • Coral Springs, FL
  • NPI 1689646440
  NPD (past) Authorized official
• Louise M Forte, PA-C

  • Physician Assistant
  • Deerfield Beach, FL
  • NPI 1710192133
  NPD (past)
• Vincent T Giovinco, DC

  • Chiropractor
  • Deerfield Beach, FL
  • NPI 1346324050
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1114158037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 10TH AVE N",
            "address_2": "SUITE 9",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616605",
            "telephone_number": "561-586-5326",
            "fax_number": "561-586-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 10TH AVE N",
            "address_2": "SUITE 9",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616605",
            "telephone_number": "561-586-5326",
            "fax_number": "561-586-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-540-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Community Wellness Center Corp
• Life Fluids Inc
• Lifecare Solutions of Palm Beach Inc
• Lifeline to Recovery Inc
• Lifestyle Health & Wellness Medical Group
• John D Light, DMD
• Lima Therapy Group of Palm Beach, Inc
• Lima Therapy Group of Palm Beach, Inc
• Lima Therapy Group of Palm Beach, Inc.
• Deny Daniel Lima

• Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.