| Lifeline Mobile LLC | |
|
316 Se Inwood Ave Port St Lucie FL 34984-5113 | |
| (734) 883-1583 | |
| Not Available |
| Full Name | Lifeline Mobile LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 316 Se Inwood Ave, Port St Lucie, Florida |
| Authorized Official Name and Position | Brian Lain (OWNER) |
| Authorized Official Contact | 7348831583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Mobile LLC 2802 Se Leigh Ave Port Saint Lucie FL 34952-7345 Ph: (734) 883-1583 | Lifeline Mobile LLC 316 Se Inwood Ave Port St Lucie FL 34984-5113 Ph: (734) 883-1583 |
| NPI Number | 1770418543 |
|---|---|
| Provider Enumeration Date | 06/15/2026 |
| Last Update Date | 06/15/2026 |
| Certification Date | 06/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770418543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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