Core Life Link Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

CORE LIFE LINK INC

Practice address

1020 Mason Ave
Daytona Beach, FL 32117-4612

Phone

(844) 444-3897

Fax

(833) 455-6962

NPI assigned

Apr 23, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mhai Nang Agraba, PHARMDNPI 1457231292

Title

Founder/Ceo

Phone

(904) 614-8404

Specialties & licenses 8

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Core Life Link Inc

  • Infectious Disease Physician
  • Jacksonville, FL
  • NPI 1679487102
  NPPES parent name

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.

• Mhai Nang Agraba, PHARMD

  • Pharmacist
  • Daytona Beach, FL
  • NPI 1457231292
  Authorized official Same address or phone

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1811832850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174612",
            "telephone_number": "844-444-3897",
            "fax_number": "833-455-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174612",
            "telephone_number": "844-444-3897",
            "fax_number": "833-455-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE LIFE LINK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "AGRABA",
        "authorized_official_first_name": "MHAI",
        "authorized_official_middle_name": "NANG",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "904-614-8404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Nicole Coolbrith
• Jacklyn Coombs
• Sherriann Cooper, APRN
• Mirna Noemi Coppola
• Lucas Scott Corbin
• Kyle Nathaniel Correll, M.D.
• Teana Victoria Corretjer
• Jamal Cort, ATC
• Elvia Fidelina Cortes, APRN
• Stephen James Cortez, M.D.

• Infectious Disease Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.