Lifestyle Health Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFESTYLE HEALTH INC

Practice address

762 S Federal Hwy
Deerfield Beach, FL 33441-5767

Phone

(954) 379-0300

Fax

(954) 379-0301

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rene Casanova, M.D.

Title

President

Phone

(954) 379-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1841404324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 10TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616605",
            "telephone_number": "561-586-5326",
            "fax_number": "561-586-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415767",
            "telephone_number": "954-379-0300",
            "fax_number": "954-379-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-379-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marah Anne Lieberman
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• Life Dental Care
• Life Tracks Treatment Center LLC.
• Lifeline Medical Supply LLC
• Laurie Light
• Lighthouse Foot & Ankle Center
• Nadia Hooper Lightner
• Ross Mel Limon, DPM
• Darlene Lin

• Clinic/Center in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.