Organization
LIFEFORCE HEALTH GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WOLSTEIN DC (CEO)
(727) 849-1309
Entity
Organization
Contact information
Practice address
2625 MCCORMICK DR, SUITE 105, CLEARWATER, FL 33759-1077
(727) 849-1309
Mailing address
2625 MCCORMICK DR, SUITE 105, CLEARWATER, FL 33759-1077
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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