Enlive

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

ENLIVE

Practice address

4871 New Broad St
Orlando, FL 32814-6629

Phone

(321) 947-5618

NPI assigned

Feb 27, 2019

Organization subpart

No

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

Authorized official

Name

Ivi Bifsha, DC

Title

Owner

Phone

(321) 947-5618

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1265999189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 NEW BROAD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 NEW BROAD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146629",
            "telephone_number": "321-947-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "BIFSHA",
        "authorized_official_first_name": "IVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-947-5618",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infusion Therapy Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Infusion Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.