Healthcare Provider Details

I. General information

NPI: 1801471503
Provider Name (Legal Business Name): LIFE RESOURCES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2021
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1157 S STATE ROAD 7
WELLINGTON FL
33414-6101
US

IV. Provider business mailing address

1157 S STATE ROAD 7
WELLINGTON FL
33414-6101
US

V. Phone/Fax

Practice location:
  • Phone: 561-234-6599
  • Fax: 888-809-1447
Mailing address:
  • Phone: 561-234-6599
  • Fax: 888-809-1447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JON ARENSTEIN
Title or Position: CEO
Credential: MD
Phone: 561-234-6599