ANGELIC LIFT
NPI 1295221711
Internal Medicine in Port Orange, FL

NPI Status: Active since July 09, 2018

Contact Information

4645 CLYDE MORRIS BLVD STE 404
PORT ORANGE, FL
ZIP 32129
Phone: (386) 855-8633
Fax: (855) 857-5810

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  • Organization
  • Internal Medicine

About ANGELIC LIFT

This page provides the complete NPI Profile along with additional information for Angelic Lift, an internist established in Port Orange, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1295221711 assigned on July 2018. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Angelic Lift operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Angelic Lift. The authorized official of this NPI record is Tinuade Olusegun Md (Owner)

NPI
1295221711
Provider Legal Name
VERDURE EXCLUSIVE PA
Other Organization Name
ANGELIC LIFT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4645 CLYDE MORRIS BLVD STE 404 PORT ORANGE, FL 32129
Location Phone
(386) 855-8633
Location Fax
(855) 857-5810
Mailing Address
4645 CLYDE MORRIS BLVD STE 404 PORT ORANGE, FL 32129
Mailing Phone
(386) 855-8633
Mailing Fax
(855) 857-5810
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-09-2018
Last Update Date
12-13-2022
Code Navigator

An internist like Angelic Lift is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 12915 Jones Maltsberger Rd Ste 102
    San Antonio, TX 78247
    (386) 855-8633
  • 12443 San Jose Blvd Ste 204
    Jacksonville, FL 32223
    (386) 855-8633

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TINUADE OLUSEGUN MD

Authorized Official Title
OWNER
Authorized Official Phone
(386) 855-8633

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295221711, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 4 + 2 + 2 + 7 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1295221711.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine
4645 CLYDE MORRIS BLVD STE 404
PORT ORANGE, FL 32129
Nurse Practitioner (Family)
4645 CLYDE MORRIS BLVD STE 404
PORT ORANGE, FL 32129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295221711, enumerated as an "organization" on July 09, 2018.

The provider is located at 4645 CLYDE MORRIS BLVD STE 404 PORT ORANGE, FL 32129 and the phone number is (386) 855-8633.

Internal Medicine with taxonomy code 207R00000X.