# LIFEFORCE HEALTH GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659813764
- **Authorized official:** BRIAN WOLSTEIN DC (CEO)
- **Authorized official phone:** (727) 849-1309

## Contact information

- **Practice address:** 2625 MCCORMICK DR, SUITE 105, CLEARWATER, FL 33759-1077
- **Practice address phone:** (727) 849-1309
- **Mailing address:** 2625 MCCORMICK DR, SUITE 105, CLEARWATER, FL 33759-1077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2016
- **Last updated:** 11/07/2016