Life Dance Inc is a Clinical in Gainesville, Florida. Life Dance Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Life Dance Inc is 1104905348. The last update date is 2014-08-05.
Life Dance Inc's current location address is 6417 Nw 37th Dr, Gainesville, Florida. You can contact this provider via phone number 3523351240. The mailing address for Life Dance Inc is 6417 Nw 37th Dr, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Dance Inc |
|---|---|
| Address | 6417 Nw 37th Dr, Gainesville, Florida |
| Phone Number | 3523351240 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Manuel A Mark |
| Credentials | PSY.D. |
| Telephone Number | 3523351240 |
NPI Number Detail
| NPI Number | 1104905348 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2014-08-05 |
Provider Mailing Address Detail
| Address | 6417 Nw 37th Dr |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326530868 |
| Phone Number | 3523351240 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Life Dance Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Life Dance Inc has been assigned the NPI (National Provider Identifier) 1104905348. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Life Dance Inc's facilities are situated?
The facilities of Life Dance Inc are physically located at the following address: 6417 Nw 37Th Dr, Gainesville, FL, 326530868.
What is Life Dance Inc's area of expertise and its corresponding taxonomy classification?
The Life Dance Inc's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104905348 to Life Dance Inc?
The Centers for Medicare & Medicaid Services originally issued the 1104905348 to Life Dance Inc on 2006-11-06.
When was the information regarding Life Dance Inc most recently updated?
The details pertaining to the Life Dance Inc, including its address, specialty, and other relevant information, were last refreshed on 2014-08-05.