Active NPI
Better Life Clinics LLC
- Clinic/Center
- Palm Harbor, FL
National Provider Identifier
1881437325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BETTER LIFE CLINICS LLC
- Practice address
- 2835 Alt 19
Palm Harbor, FL 34683-1926 - Phone
- (630) 605-7735
- NPI assigned
- Jun 13, 2024
- Last updated
- Jun 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kamel Ibrahim
- Title
- Owner
- Phone
- (630) 605-7735
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | NU | ||
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
2835 Alt 19
Palm Harbor, FL 34683-1926
Mailing address
2835 Alt 19
Palm Harbor, FL 34683-1926
Phone (630) 605-7735
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718236800000",
"number": "1881437325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 ALT 19",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831926",
"telephone_number": "630-605-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 ALT 19",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831926",
"telephone_number": "630-605-7735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETTER LIFE CLINICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-13",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A",
"authorized_official_last_name": "IBRAHIM",
"authorized_official_first_name": "KAMEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-605-7735"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.