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NPI Code Detail

MEDICARE: LIFE MANAGEMENT INTERNATIONAL INC.

MEDICARE: LIFE MANAGEMENT INTERNATIONAL INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerARNP1921112FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083793046
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE MANAGEMENT INTERNATIONAL INC.
Provider Business Mailing Address
First Line : 1267 TIMBERIDGE LOOP N
Second Line :
City : LAKELAND
State : FL
Zip : 33809-4682
Country : US
Telephone Number : 863-602-7908
Fax Number : 863-815-1901
Provider Business Practice Location Address
First Line : 1267 TIMBERIDGE LOOP N
Second Line :
City : LAKELAND
State : FL
Zip : 33809-4682
Country : US
Telephone Number : 863-602-7908
Fax Number : 863-815-1901
Authorized Official
Title or Position : CO-OWNER
Name : PIUS N. GODWIN
Credential : ARNP
Telephone Number : 863-602-7908
Provider Enumeration Date : 11/02/2006
Last Update Date : 01/04/2013

Similar Medicare Providers

1831187012 — PIUS N GODWIN ARNP
Practice Location Address:
1267 TIMBERIDGE LOOP N
LAKELAND, FL
33809-4682
Practice Phone: 863-602-7908
Practice Fax: 863-815-1901
1356364905 — RICHARD H FLOWERS III MD
Practice Location Address:
970 LAKELAND DR STE 61
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39216-4682
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1578753943 — DR. JOSEPH SAM OWEN JR. M.D.
Practice Location Address:
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JACKSON, MS
39216-4682
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Practice Fax: 601-366-8507
1851575880 — MRS. AMANDA LEAH BARRY ACNP
Practice Location Address:
970 LAKELAND DR STE 61
JACKSON, MS
39216-4682
Practice Phone: 601-982-7850
Practice Fax:
1609178532 — MRS. LESLIE LEWIS BARRY NP-C
Practice Location Address:
970 LAKELAND DR STE 61
JACKSON, MS
39216-4682
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Practice Fax:
1164856894 — KATHERINE BROOME TOTTY F.N.P.
Practice Location Address:
970 LAKELAND DR STE 61
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39216-4682
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Practice Fax:

Directions to “LIFE MANAGEMENT INTERNATIONAL INC. ” Practice Location

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