Organization Active NPI

Life & Hope Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1659648848
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
MA60379 Issued in FL
Legal business name
LIFE & HOPE MEDICAL CENTER INC
Practice address
28321 S Tamiami TRL # A3
Bonita Springs, FL 34134-3226
Phone
(239) 821-0713
Fax
(305) 220-5015
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Barbara Gonzalez I, MASSAGE THERAPIST
Title
Massage Therapist
Phone
(239) 821-0713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X MA60379 FL Primary

Addresses

Primary practice location

28321 S Tamiami TRL # A3
Bonita Springs, FL 34134-3226

Mailing address

28321 S Tamiami TRL # A3
Bonita Springs, FL 34134-3226
Phone (239) 821-0713

National Provider Directory

National Provider Directory

Locations

28321 S Tamiami TRL A3
Bonita Springs, FL 34134
Phone (239) 821-0713

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1659648848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28321 S TAMIAMI TRL # A3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343226",
            "telephone_number": "239-821-0713",
            "fax_number": "305-220-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28321 S TAMIAMI TRL # A3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343226",
            "telephone_number": "239-821-0713",
            "fax_number": "305-220-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE & HOPE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "239-821-0713",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "MA60379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.