Organization Active NPI

Relife Foundation

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1306699046
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RELIFE FOUNDATION
Practice address
2512 W Colonial Dr
Orlando, FL 32804-8009
Phone
(407) 674-8800
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Eman Desir
Title
Management
Phone
(954) 487-7464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2512 W Colonial Dr
Orlando, FL 32804-8009

Mailing address

1000 E Atlantic Blvd Ste 201
Pompano Beach, FL 33060-7487

National Provider Directory

National Provider Directory

Locations

1000 E Atlantic Blvd
Ste 201
Pompano Beach, FL 33060

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1306699046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E ATLANTIC BLVD STE 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328048009",
            "telephone_number": "407-674-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIFE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "DESIR",
        "authorized_official_first_name": "EMAN",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "954-487-7464"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.