| Life Resources, LLC | |
|
1157 S State Road 7 Wellington FL 33414-6101 | |
| (561) 234-6599 | |
| (888) 809-1447 |
| Full Name | Life Resources, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1157 S State Road 7, Wellington, Florida |
| Authorized Official Name and Position | Jon Arenstein (CEO) |
| Authorized Official Contact | 5612346599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Resources, LLC 1157 S State Road 7 Wellington FL 33414-6101 Ph: (561) 234-6599 | Life Resources, LLC 1157 S State Road 7 Wellington FL 33414-6101 Ph: (561) 234-6599 |
| NPI Number | 1801471503 |
|---|---|
| Provider Enumeration Date | 03/14/2021 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Medicare PECOS PAC ID | 2062810591 |
|---|---|
| Medicare Enrollment ID | O20211013001455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801471503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | () | Secondary |
| Provider Name | David Soria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659326080 PECOS PAC ID: 3971491473 Enrollment ID: I20130426000566 |
| Provider Name | Chiavani a Carland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366856254 PECOS PAC ID: 0941422430 Enrollment ID: I20160406001862 |
| Provider Name | Samantha Rene Pickrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295377224 PECOS PAC ID: 0547698722 Enrollment ID: I20200323000715 |
| Provider Name | Sumelia Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710594114 PECOS PAC ID: 5395158729 Enrollment ID: I20210104001451 |
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