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LIFELINE VASCULAR CENTER OF SOUTH ORLANDO, LLC
NPI 1053668228
Internal Medicine - Nephrology in Orlando, FL

Active since August 07, 2012
1511 SLIGH BLVD, SUITE A, ORLANDO, FL 32806(847) 949-3845(866) 408-5072 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifeline Vascular Center Of South Orlando, Llc NPPES

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

LIFELINE VASCULAR CENTER OF SOUTH ORLANDO, LLC (NPI 1053668228) is a healthcare organization registered as a nephrology in Orlando, Florida and active in the NPI registry since August 2012. The organization lists James Hilger, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1053668228
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameLIFELINE VASCULAR CENTER OF SOUTH ORLANDO, LLC
Location Address1511 SLIGH BLVD, SUITE AOrlando, FL 32806-3959
Mailing Address3 W Hawthorn Pkwy, Suite 410Vernon Hills, IL 60061-1446 · (847) 388-2001 · Fax (847) 388-2020
Phone(847) 949-3845
Fax(866) 408-5072
Organization SubpartNo
Authorized OfficialJames HilgerChief Accounting Officer · (253) 280-9501
Enumeration DateAugust 7, 2012
✔ NPI 1053668228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
1511 SLIGH BLVD, Orlando, FL 32806
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARCELLA MARIE BUJNOVSKY M.D.
Obstetrics & Gynecology
1511 SLIGH BLVD, SUITE B
ORLANDO, FL 32806
Orange County (407) 316-0156
DR. KEITH CAMPER VAN DYKE M.D.
Obstetrics & Gynecology
1511 SLIGH BLVD, SUITE B
ORLANDO, FL 32806
Orange County (407) 316-0156
FLORIDA WOMAN CARE,LLC
Obstetrics & Gynecology
1511 SLIGH BLVD, SUITE B
ORLANDO, FL 32806
Orange County (407) 423-0573

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 Lifeline Vascular Center Of South Orlando, LLC's NPI number?

The NPI number for Lifeline Vascular Center Of South Orlando, LLC is 1053668228. It was assigned to this organization in the NPPES registry on August 7, 2012.

Where is Lifeline Vascular Center Of South Orlando, LLC located?

Lifeline Vascular Center Of South Orlando, LLC is located at 1511 Sligh Blvd Suite A, Orlando, FL 32806. The listed phone number is (847) 949-3845.

What is Lifeline Vascular Center Of South Orlando, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Lifeline Vascular Center Of South Orlando, LLC was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.