MEDICARE: PRIMELIFE HEALTH LLC

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
1	207Q00000X	Family Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1144083577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMELIFE HEALTH LLC

Provider Business Mailing Address
First Line	:	3411 W TAMPA BAY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6619
Country	:	US
Telephone Number	:	813-874-1509
Fax Number	:	813-616-6280

Provider Business Practice Location Address
First Line	:	2621 CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-5802
Country	:	US
Telephone Number	:	239-220-5561
Fax Number	:

Authorized Official
Title or Position	:	CMO
Name	:	DR. ORLANDO S RANGEL
Credential	:	MD
Telephone Number	:	813-300-3741

Provider Enumeration Date	:	01/30/2024
Last Update Date	:	01/28/2026

Similar Medicare Providers

1902142599 — DANIELLE MARIE BAKALAR PA
Practice Location Address:

2621 CLEVELAND AVE
FORT MYERS, FL
33901-5802

Practice Phone: 239-425-1270
Practice Fax: 239-479-7708

1033847041 — CANO HEALTH, LLC
Practice Location Address:

2621 CLEVELAND AVE
FORT MYERS, FL
33901-5802

Practice Phone: 855-226-6633
Practice Fax:

1720765506 — DARVIS EDUARDO DAGER LISSABET MD
Practice Location Address:

2621 CLEVELAND AVE
FORT MYERS, FL
33901-5802

Practice Phone: 787-658-0200
Practice Fax: 787-658-0640

1164727558 — DR. CHRISTINE MARIE NEEDHAM ED.D.
Practice Location Address:

17597 ROCKEFELLER CIR , SUITE 2
FORT MYERS, FL
33967-5802

Practice Phone: 239-267-0887
Practice Fax: 239-267-0823

1669575395 — HOOK-SUPERX LLC
Practice Location Address:

5802 S ANTHONY BLVD
FORT WAYNE, IN
46816-3702

Practice Phone: 260-447-1841
Practice Fax:

1780920892 — MRS. IRYNA VOLSKA OTR
Practice Location Address:

2150 CENTER AVE APT 4E
FORT LEE, NJ
07024-5802

Practice Phone: 347-886-7410
Practice Fax:

Directions to “PRIMELIFE HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.