Organization
LIFEWELL MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHAK GOLDSMITH DO (PRESIDENT)
(845) 360-2552
Entity
Organization
Contact information
Practice address
220 9TH ST, PORT SAINT JOE, FL 32456-1924
(845) 360-2552
Mailing address
23 ROBERT PITT DR STE 102A, MONSEY, NY 10952-3470
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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