Lifemax Medical Support Center LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LIFEMAX MEDICAL SUPPORT CENTER LLC

Practice address

2260 Palm Beach Lakes Blvd Ste 212
West Palm Beach, FL 33409-3411

Phone

(321) 900-8330

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Yolanda Ruiz Rodriguez

Title

President

Phone

(321) 900-8330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1174255863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 PALM BEACH LAKES BLVD STE 212",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093411",
            "telephone_number": "321-900-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 PALM BEACH LAKES BLVD STE 212",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093411",
            "telephone_number": "321-900-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMAX MEDICAL SUPPORT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "RUIZ RODRIGUEZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-900-8330"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.