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LIFE SCAN WELLNESS CENTERS
NPI 1376869073
Registered Nurse - General Practice in Tampa, FL

Active since April 20, 2010
1011 N MACDILL AVE, TAMPA, FL 33607(813) 876-0625(813) 876-0653 Get Directions Write a Review

NPPES record last updated: April 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Scan Wellness Centers NPPES

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

LIFE SCAN WELLNESS CENTERS (NPI 1376869073) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since April 2010. The organization lists Patricia Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376869073
Entity TypeOrganization
Primary Taxonomy163WG0000X
Legal Business NameLIFE EXTENSION CLINICS, INC
Location Address1011 N MACDILL AVETampa, FL 33607-5126
Mailing Address1011 N Macdill AveTampa, FL 33607-5126 · (813) 876-0625 · Fax (813) 876-0653
Phone(813) 876-0625
Fax(813) 876-0653
Organization SubpartNo
Authorized OfficialPatricia JohnsonCeo · (813) 876-0625
Enumeration DateApril 20, 2010
✔ NPI 1376869073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in FL · RN1456802
1011 N MACDILL AVE, Tampa, FL 33607
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Other Names 1

Doing Business AsLife Scan Wellness Centers

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

Other Providers at the Same Location NPPES 9

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

STEPHANIE L. HENRY APRN
Nurse Practitioner (Family)
1011 N MACDILL AVE
TAMPA, FL 33607
Hillsborough County (813) 876-0625
AMY KOEHLER
Nurse Practitioner (Family)
1011 N MACDILL AVE
TAMPA, FL 33607
Hillsborough County (813) 876-0625
MRS. BARBARA ANN PALINCHIK CNP
Nurse Practitioner (Adult Health)
1011 N MACDILL AVE
TAMPA, FL 33607
Hillsborough County (813) 876-0625
LISA MARIE SIMMS
Nurse Practitioner (Family)
1011 N MACDILL AVE
TAMPA, FL 33607
Hillsborough County (954) 806-3079
LESLIE LUKERT FNP-C
Nurse Practitioner (Family)
1011 N MACDILL AVE
TAMPA, FL 33607
Hillsborough County (813) 876-0625
KATHRYN BACHER MSN, ARNP
Nurse Practitioner
1011 N MACDILL AVE
TAMPA, FL 33607
Hillsborough County (813) 876-0625
JENNIFER LOPEZ
Nurse Practitioner (Family)
1011 N MACDILL AVE
TAMPA, FL 33607
Hillsborough County (813) 876-0625
CAREN MARYANNA HOSLER
Nurse Practitioner (Family)
1011 N MACDILL AVE
TAMPA, FL 33607
Hillsborough County (727) 258-4818

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 Life Extension Clinics, Inc's NPI number?

The NPI number for Life Extension Clinics, Inc is 1376869073. It was assigned to this organization in the NPPES registry on April 20, 2010. The provider is doing business as Life Scan Wellness Centers.

Where is Life Extension Clinics, Inc located?

Life Extension Clinics, Inc is located at 1011 N Macdill Ave, Tampa, FL 33607. The listed phone number is (813) 876-0625.

What is Life Extension Clinics, Inc's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Life Extension Clinics, Inc was last updated on April 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.