LIFEMD SOUTHERN PATIENT MEDICAL CARE PC
NPI 1417635921
Clinic/Center in Orlando, FL

Q: What is Lifemd Southern Patient Medical Care PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since July 06, 2023

111 N ORANGE AVE STE 800, ORLANDO, FL 32801(646) 263-3680 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2024, Jul 6, 2023 (2 updates tracked since 2023).

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About Lifemd Southern Patient Medical Care Pc NPPES

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

LIFEMD SOUTHERN PATIENT MEDICAL CARE PC (NPI 1417635921) is a healthcare organization registered as a clinic/center in Orlando, Florida and active in the NPI registry since July 2023. The organization maintains a secondary practice location in Atlanta and lists Eric Yecies, Cco, as its authorized official.

NPPES Registry Identity

NPI1417635921

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLIFEMD SOUTHERN PATIENT MEDICAL CARE PC

Location Address111 N ORANGE AVE STE 800Orlando, FL 32801-2381

Mailing Address236 5th Ave Ste 400New York, NY 10001-7606 · (800) 852-1575

Phone(646) 263-3680

Organization SubpartNo

Authorized OfficialEric YeciesCco · (800) 852-1575

Enumeration DateJuly 6, 2023

Last NPPES UpdateMay 28, 20242 updates tracked since enumeration

NPPES CertifiedMay 28, 2024

✔ NPI 1417635921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

111 N ORANGE AVE STE 800, Orlando, FL 32801

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Secondary Practice Location 1

Location 13455 Peachtree Rd NE Fl 5Atlanta, GA 30326-3254 · Phone (800) 852-1575

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 20

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

CARISSA M RAVER APRN, FNP-BC

Nurse Practitioner (Family)