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STAGES OF LIFE MEDICAL INSTITUTE
NPI 1790968485
Anesthesiology - Pain Medicine in Longwood, FL

Active since December 17, 2007CLIA 10D2001025 · Accreditation
1917 BOOTHE CIR, LONGWOOD, FL 32750(407) 679-3337 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stages Of Life Medical Institute NPPES

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

STAGES OF LIFE MEDICAL INSTITUTE (NPI 1790968485) is a healthcare organization registered as a pain medicine in Longwood, Florida and active in the NPI registry since December 2007. The organization holds an CLIA Accreditation certificate valid through September 28, 2027 and lists David S Klein, Physician, as its authorized official.

NPPES Registry Identity

NPI1790968485
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSTAGES OF LIFE MEDICAL INSTITUTE
Location Address1917 BOOTHE CIRLongwood, FL 32750-6708
Mailing Address1917 Boothe CircleLongwood, FL 32750-6708 · (407) 679-3337
Phone(407) 679-3337
Organization SubpartNo
Authorized OfficialDavid S KleinPhysician · (407) 679-3337
Enumeration DateDecember 17, 2007
Last NPPES UpdateJune 12, 2013
✔ NPI 1790968485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in FL · ME 81513
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1917 BOOTHE CIR, Longwood, FL 32750
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Other Identifiers 3

Medicare UPINB10274FL
Medicare PINK2737FL
Medicare NSC6360470001FL

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2001025

Stages Of Life Medical Institute · Longwood, FL
Active · expires Sep 28, 2027
CLIA Number10D2001025
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorDr. David S. Klein
Laboratory Phone(407) 679-3337
Laboratory LocationStages Of Life Medical Institute1917 Boothe Cir, Longwood, FL 32750
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

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

DR. DAVID S KLEIN M.D.,FACA,FACPM
Anesthesiology (Pain Medicine)
1917 BOOTHE CIR
LONGWOOD, FL 32750
Seminole County (407) 679-3337
MS. KIMBERLY JEAN LUEDECKE ARNP
Nurse Practitioner (Acute Care)
1917 BOOTHE CIR
LONGWOOD, FL 32750
Seminole County (407) 679-3337
EMMANUELA DERISBRUN NURSE PRACTITIONER
Nurse Practitioner
1917 BOOTHE CIR
LONGWOOD, FL 32750
Seminole County (407) 679-3337

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 Stages Of Life Medical Institute's NPI number?

The NPI number for Stages Of Life Medical Institute is 1790968485. It was assigned to this organization in the NPPES registry on December 17, 2007.

Where is Stages Of Life Medical Institute located?

Stages Of Life Medical Institute is located at 1917 Boothe Cir, Longwood, FL 32750. The listed phone number is (407) 679-3337.

What is Stages Of Life Medical Institute's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Stages Of Life Medical Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2001025) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stages Of Life Medical Institute was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.