Organization
CORE LIFE LINK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MHAI NANG AGRABA PHARMD (FOUNDER/CEO)
(386) 449-9760
Entity
Organization
Contact information
Practice address
1020 MASON AVE, DAYTONA BEACH, FL 32117-4612
(844) 444-3897
(833) 455-6962
Mailing address
1020 MASON AVE, DAYTONA BEACH, FL 32117-4612
(844) 444-3897
(833) 455-6962
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Enumeration date
04/23/2026
Last updated
08/05/2026
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