Provider Demographics
NPI:1811300320
Name:NULIFE INTEGRATED HEALTHCARE INC
Entity type:Organization
Organization Name:NULIFE INTEGRATED HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:COSENZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-696-8543
Mailing Address - Street 1:PO BOX 1404
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33429-1404
Mailing Address - Country:US
Mailing Address - Phone:844-696-8543
Mailing Address - Fax:844-333-0678
Practice Address - Street 1:9101 LAKERIDGE BLVD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496
Practice Address - Country:US
Practice Address - Phone:844-696-8543
Practice Address - Fax:844-333-0678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier