NPIMap

Organization Active NPI

Life View Dynamics, LLC

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1295012268
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LIFE VIEW DYNAMICS, LLC
Practice address
1012 Emmett St
Kissimmee, FL 34741-5415
Phone
(877) 583-8439
Fax
(407) 870-9306
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Mr. Robert Edward McDermott
Title
President
Phone
(877) 583-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1012 Emmett St
Kissimmee, FL 34741-5415

Mailing address

1012 Emmett St
Kissimmee, FL 34741-5415
Phone (877) 583-8439

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1295012268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 EMMETT ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415415",
            "telephone_number": "877-583-8439",
            "fax_number": "407-870-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 EMMETT ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415415",
            "telephone_number": "877-583-8439",
            "fax_number": "407-870-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE VIEW DYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-583-8439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.