Healthcare Provider Details

I. General information

NPI: 1154259299
Provider Name (Legal Business Name): OXYPEAK LONGEVITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 BROWNWOOD BLVD STE 100
THE VILLAGES FL
32163-2040
US

IV. Provider business mailing address

14245 NW 145TH AVE
WILLISTON FL
32696-7496
US

V. Phone/Fax

Practice location:
  • Phone: 407-417-4631
  • Fax:
Mailing address:
  • Phone: 407-417-4631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DION ATCHISON
Title or Position: CEO
Credential:
Phone: 407-417-4631