Organization Active NPI

Life Connect Foundation Inc

  • Clinic/Center
  • Lauderdale Lakes, FL
National Provider Identifier
1881207900
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIFE CONNECT FOUNDATION INC
Practice address
3001 NW 49TH Ave Ste 308
Lauderdale Lakes, FL 33313-7263
Phone
(954) 391-7319
NPI assigned
Aug 28, 2020
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Macdaline Sanz
Title
President
Phone
(954) 391-7319

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

3001 NW 49TH Ave Ste 308
Lauderdale Lakes, FL 33313-7263

Mailing address

3001 NW 49TH Ave Ste 308
Lauderdale Lakes, FL 33313-7263
Phone (954) 391-7319

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2207315Life Connect Foundation Inc3001 NW 49TH Ave Suite 308, Lauderdale Lakes, FL 33313Certificate of waiverDec 27, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1881207900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE STE 308",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137263",
            "telephone_number": "954-391-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE STE 308",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137263",
            "telephone_number": "954-391-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CONNECT FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "SANZ",
        "authorized_official_first_name": "MACDALINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-391-7319"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.