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LIFETIME MEDICAL CARE PA
NPI 1790793016
Clinic/Center - Primary Care in Orange Park, FL

Active since August 03, 2006
2300 PARK AVE, SUITE 203, ORANGE PARK, FL 32073(904) 278-0016(904) 278-4217 Get Directions Write a Review

NPPES record last updated: November 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifetime Medical Care Pa NPPES

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

LIFETIME MEDICAL CARE PA (NPI 1790793016) is a healthcare organization registered as a primary care in Orange Park, Florida and active in the NPI registry since August 2006. The organization lists Nidal El Rimawi, President, as its authorized official.

NPPES Registry Identity

NPI1790793016
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFETIME MEDICAL CARE PA
Location Address2300 PARK AVE, SUITE 203Orange Park, FL 32073-5571
Mailing Address5000 Us Highway 17, Suite 18-302Orange Park, FL 32003-8231 · (904) 278-0016 · Fax (904) 278-4217
Phone(904) 278-0016
Fax(904) 278-4217
Organization SubpartNo
Authorized OfficialNidal El RimawiPresident · (904) 278-0016
Enumeration DateAugust 3, 2006
Last NPPES UpdateNovember 6, 2008
✔ NPI 1790793016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME81222
2300 PARK AVE, Orange Park, FL 32073
Open in Google Maps ↗

Other Identifiers 5

Other01528FL · Blue Cross Blue Shield
Other7388361FL · Aetna
Medicare ID-Type Unspecified34287FL
Other6965204FL · Cigna
Medicare UPING95774FL

Other Providers at the Same Location NPPES 11

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

NEDZAD CAVKA PT
Physical Therapist
2300 PARK AVE, SUITE 203
ORANGE PARK, FL 32073
Clay County (904) 634-0640
KRYSTAL JANE NEWBERN D.P.T.
Physical Therapist
2300 PARK AVE, SUITE 203
ORANGE PARK, FL 32073
Clay County (904) 634-0640
DR. PAUL A BEDNARZYK MD
Internal Medicine (Cardiovascular Disease)
2300 PARK AVE, SUITE 101-B
ORANGE PARK, FL 32073
Clay County (904) 264-0088
DRS. MCCLOW, CLARK & BERK PA
Radiology (Diagnostic Radiology)
2300 PARK AVE
ORANGE PARK, FL 32073
Clay County (904) 215-2580
PAUL DAVID SHIRLEY M.D.
Orthopaedic Surgery (Sports Medicine)
2300 PARK AVE, SUITE 203
ORANGE PARK, FL 32073
Clay County (904) 634-0640
TIFFANY RESHAE FLORENCE ARNP
Nurse Practitioner (Family)
2300 PARK AVE
ORANGE PARK, FL 32073
Clay County (352) 208-4154
JASON M FETTY PT
Physical Therapist
2300 PARK AVE, SUITE 203
ORANGE PARK, FL 32073
Clay County (904) 634-0640
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Orthopaedic Surgery
2300 PARK AVE, SUITE 203
ORANGE PARK, FL 32073
Clay County (904) 634-0640

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 Medical Care PA's NPI number?

The NPI number for Lifetime Medical Care PA is 1790793016. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Lifetime Medical Care PA located?

Lifetime Medical Care PA is located at 2300 Park Ave Suite 203, Orange Park, FL 32073. The listed phone number is (904) 278-0016.

What is Lifetime Medical Care PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lifetime Medical Care PA was last updated on November 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.