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LIFETIME HEALTH MEDICAL GROUP INC
NPI 1750055216
Clinic/Center in Miami, FL

Active since August 06, 2021
11410 N KENDALL DR STE 307, MIAMI, FL 33176(786) 238-7982(305) 463-1293 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifetime Health Medical Group Inc NPPES

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

LIFETIME HEALTH MEDICAL GROUP INC (NPI 1750055216) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since August 2021. The organization lists Raul Duconger, President, as its authorized official.

NPPES Registry Identity

NPI1750055216
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLIFETIME HEALTH MEDICAL GROUP INC
Location Address11410 N KENDALL DR STE 307Miami, FL 33176-1031
Mailing Address11410 N Kendall Dr Ste 307Miami, FL 33176-1031 · (786) 238-7982 · Fax (305) 463-1293
Phone(786) 238-7982
Fax(305) 463-1293
Organization SubpartNo
Authorized OfficialRaul DucongerPresident · (786) 238-7982
Enumeration DateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
✔ NPI 1750055216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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).
11410 N KENDALL DR STE 307, Miami, FL 33176
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Other Providers at the Same Location NPPES

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

EASTERN MEDICAL KENDALL
Family Medicine
11410 N KENDALL DR STE 307
MIAMI, FL 33176
Miami-Dade County (305) 279-2227

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 Lifetime Health Medical Group Inc's NPI number?

The NPI number for Lifetime Health Medical Group Inc is 1750055216. It was assigned to this organization in the NPPES registry on August 6, 2021.

Where is Lifetime Health Medical Group Inc located?

Lifetime Health Medical Group Inc is located at 11410 N Kendall Dr Ste 307, Miami, FL 33176. The listed phone number is (786) 238-7982.

What is Lifetime Health Medical Group Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifetime Health Medical Group Inc was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.