HEALTHY LIFE MEDICAL PRACTICE. LLC
NPI 1043012842
General Practice in Mulberry, FL

Q: What is Healthy Life Medical Practice. LLC's NPI number?

The NPI number for Healthy Life Medical Practice. LLC is 1043012842. It was assigned to this organization in the NPPES registry on March 25, 2025. The provider is doing business as BrainKlast.

Q: What is Healthy Life Medical Practice. LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 25, 2025

5925 IMPERIAL PKWY STE 117, MULBERRY, FL 33860(863) 304-5151 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Healthy Life Medical Practice. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHY LIFE MEDICAL PRACTICE. LLC (NPI 1043012842), doing business as Brainklast, is a healthcare organization registered as a general practice in Mulberry, Florida and active in the NPI registry since March 2025. The organization lists Luz Patricia Morales Gonzalez, Md Director/ Owner, as its authorized official.

NPPES Registry Identity

NPI1043012842

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameHEALTHY LIFE MEDICAL PRACTICE. LLC

Location Address5925 IMPERIAL PKWY STE 117Mulberry, FL 33860-8692

Mailing Address5925 Imperial Pkwy Ste 117Mulberry, FL 33860-8692 · (863) 304-5151

Phone(863) 304-5151

Organization SubpartNo

Authorized OfficialLuz Patricia Morales GonzalezMd Director/ Owner · (631) 946-4546

Enumeration DateMarch 25, 2025

NPPES CertifiedMarch 25, 2025

✔ NPI 1043012842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedNursing CareTaxonomy 251J00000X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

5925 IMPERIAL PKWY STE 117, Mulberry, FL 33860

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Other Names 1

Doing Business AsBrainklast

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthy Life Medical Practice. LLC's NPI number?

The NPI number for Healthy Life Medical Practice. LLC is 1043012842. It was assigned to this organization in the NPPES registry on March 25, 2025. The provider is doing business as BrainKlast.

Where is Healthy Life Medical Practice. LLC located?

Healthy Life Medical Practice. LLC is located at 5925 Imperial Pkwy Ste 117, Mulberry, FL 33860. The listed phone number is (863) 304-5151.

What is Healthy Life Medical Practice. LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Healthy Life Medical Practice. LLC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.