Healthcare Provider Details

I. General information

NPI: 1750123287
Provider Name (Legal Business Name): BETTER LIFE CLINICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 DELAWARE AVE STE 210-598
WILMINGTON DE
19801-1607
US

IV. Provider business mailing address

5840 RED BUG LAKE RD UNIT 1711
WINTER SPRINGS FL
32708-5011
US

V. Phone/Fax

Practice location:
  • Phone: 302-330-5950
  • Fax: 302-702-0148
Mailing address:
  • Phone: 302-330-5950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID G JANARIOUS
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 302-330-5950