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LIFE EXTENSION CLINICS
NPI 1861852535
Clinic/Center - Occupational Medicine in Jacksonville, FL

Active since February 24, 2016
4130 SALISBURY RD STE 2400, JACKSONVILLE, FL 32216(904) 296-1790 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Extension Clinics NPPES

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

LIFE EXTENSION CLINICS (NPI 1861852535) is a healthcare organization registered as an occupational medicine in Jacksonville, Florida and active in the NPI registry since February 2016. The organization lists Anthony Capasso, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1861852535
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameLIFE EXTENSION CLINICS
Location Address4130 SALISBURY RD STE 2400Jacksonville, FL 32216-8052
Mailing Address4130 Salisbury Rd Ste 2400Jacksonville, FL 32216-8052
Phone(904) 296-1790
Organization SubpartNo
Authorized OfficialAnthony CapassoMedical Director · (904) 296-1790
Enumeration DateFebruary 24, 2016
✔ NPI 1861852535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
License✔ Licensed in FL · ARNP9414152
4130 SALISBURY RD STE 2400, Jacksonville, FL 32216
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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's NPI number?

The NPI number for Life Extension Clinics is 1861852535. It was assigned to this organization in the NPPES registry on February 24, 2016.

Where is Life Extension Clinics located?

Life Extension Clinics is located at 4130 Salisbury Rd Ste 2400, Jacksonville, FL 32216. The listed phone number is (904) 296-1790.

What is Life Extension Clinics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

When was this NPI record last updated?

The NPPES record for Life Extension Clinics was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.