Provider Demographics
NPI:1598460842
Name:LIFELINK FOUNDATION INC
Entity Type:Organization
Organization Name:LIFELINK FOUNDATION INC
Other - Org Name:LIFELINK OF FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-804-4525
Mailing Address - Street 1:9661 DELANEY CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-5121
Mailing Address - Country:US
Mailing Address - Phone:813-253-2640
Mailing Address - Fax:
Practice Address - Street 1:9661 DELANEY CREEK BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-5121
Practice Address - Country:US
Practice Address - Phone:813-253-2640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFELINK FOUNDATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335U00000XSuppliersOrgan Procurement Organization