Provider Demographics
NPI:1699817064
Name:LIFESTYLE MEDICAL SYSTEMS, INC.
Entity Type:Organization
Organization Name:LIFESTYLE MEDICAL SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-944-1630
Mailing Address - Street 1:2040 NE 163RD ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4951
Mailing Address - Country:US
Mailing Address - Phone:305-944-1630
Mailing Address - Fax:
Practice Address - Street 1:2040 NE 163RD ST
Practice Address - Street 2:SUITE 302
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4951
Practice Address - Country:US
Practice Address - Phone:305-944-1630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies