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Contact Information

LIFE DANCE INC
6417 NW 37TH DR
GAINESVILLE, FL32653-0868
 Phone: 352-335-1240
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFE DANCE INC

NPI Number 1104905348
LBN Legal business name LIFE DANCE INC
Authorized official MARK MANUEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2006
Last updated 08/05/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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