Organization Active NPI

The Life of the Future Medical Center, Inc

  • Specialist
  • Hallandale Beach, FL
National Provider Identifier
1467406959
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE LIFE OF THE FUTURE MEDICAL CENTER, INC
Practice address
1170 E Hallandale Beach Blvd
Suite 1170C
Hallandale Beach, FL 33009-4432
Phone
(954) 458-1940
Fax
(954) 458-1946
NPI assigned
May 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Jacqueline Bessie Alva
Title
President
Phone
(954) 458-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1170 E Hallandale Beach Blvd
Suite 1170C
Hallandale Beach, FL 33009-4432

Mailing address

1170 E Hallandale Beach Blvd
Suite 1170C
Hallandale Beach, FL 33009-4432
Phone (954) 458-1940

National Provider Directory

National Provider Directory

Locations

1170 E Hallandale Beach Blvd
#1170C
Hallandale Beach, FL 33009
Phone (954) 458-1940

1170 E Hallandale Beach Blvd
Ste 1170C
Hallandale Beach, FL 33009
Phone (954) 458-1940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467406959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 1170C",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094432",
            "telephone_number": "954-458-1940",
            "fax_number": "954-458-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 1170C",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094432",
            "telephone_number": "954-458-1940",
            "fax_number": "954-458-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFE OF THE FUTURE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALVA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "BESSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-458-1940",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.