# CORE LIFE LINK INC

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

## Provider details

- **NPI number:** 1811832850
- **Authorized official:** DR. MHAI NANG AGRABA PHARMD (FOUNDER/CEO)
- **Authorized official phone:** (904) 614-8404

## Contact information

- **Practice address:** 1020 MASON AVE, DAYTONA BEACH, FL 32117-4612
- **Practice address phone:** (844) 444-3897
- **Practice address fax:** (833) 455-6962
- **Mailing address:** 1020 MASON AVE, DAYTONA BEACH, FL 32117-4612
- **Mailing address phone:** (844) 444-3897
- **Mailing address fax:** (833) 455-6962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 174200000X | Meals Provider | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 251B00000X | Case Management Agency | — | — | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | — | Yes |
| 261QP0905X | State or Local Public Health Clinic/Center | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |

## Other

- **Enumeration date:** 04/23/2026
- **Last updated:** 10/01/2026