Life Extension and Wellness Center Inc
NPI 1386912079 · Internal Medicine Physician · Dania Beach, FL
Life Extension and Wellness Center Inc is a Internal Medicine Physician organization in Dania Beach, FL (NPI 1386912079).
Provider details
- NPI number
- 1386912079
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Burke, Mcc(954) 921-9555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2016-11-21
Frequently asked questions
- What is Life Extension and Wellness Center Inc's NPI number?
- Life Extension and Wellness Center Inc's National Provider Identifier (NPI) is 1386912079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Extension and Wellness Center Inc?
- Life Extension and Wellness Center Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Life Extension and Wellness Center Inc located?
- Life Extension and Wellness Center Inc's practice location on file with NPPES is 1418 S Federal Hwy, Dania Beach, FL 33004-4349.
- What is Life Extension and Wellness Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Extension and Wellness Center Inc is (954) 921-9555.
- Who is the authorized official for Life Extension and Wellness Center Inc?
- The authorized official listed on Life Extension and Wellness Center Inc's NPPES record is Laura Burke, Mcc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Extension and Wellness Center Inc's NPI active?
- Yes — Life Extension and Wellness Center Inc's NPI (1386912079) is active in the NPPES registry as of the last update on 2016-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.