Organization Active NPI

Lifeline Injury Center, LLC

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1811239460
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0S1653 Issued in FL
Legal business name
LIFELINE INJURY CENTER, LLC
Practice address
672 N Semoran Blvd Ste 101
Orlando, FL 32807-3367
Phone
(407) 658-0306
NPI assigned
Mar 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Mr. Albert E Ford, M.D
Title
Owner
Phone
(813) 494-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0S1653 FL Primary

Addresses

Primary practice location

672 N Semoran Blvd Ste 101
Orlando, FL 32807-3367

Mailing address

672 N Semoran Blvd Ste 101
Orlando, FL 32807-3367
Phone (407) 658-0306

National Provider Directory

National Provider Directory

Locations

672 N Semoran Blvd
Ste 101
Orlando, FL 32807
Phone (407) 658-0306

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1811239460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 N SEMORAN BLVD STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073367",
            "telephone_number": "407-658-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 N SEMORAN BLVD STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073367",
            "telephone_number": "407-658-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-494-7277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "0S1653",
            "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 Mar 21, 2013; 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.