ACTIVE LIFE SOLUTIONS, INC. (NPI# 1871819532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871819532 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE SOLUTIONS, INC. |
| Practice Address |
850 W Indiantown Rd Suite C Jupiter FL 33458-7539 |
| Mailing Address |
6671 W Indiantown Rd # 50-438 Jupiter FL 33458-3991 |
| Practice Telephone | 5613868311 |
| Practice Fax Number | 5617488551 |
| Mailing Telephone | 5613868311 |
| Mailing Fax Number | 5617488551 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |
| Authorized Official Name | MR. PAUL A LAINE (PRESIDENT) |
| Authorized Official Telephone | 5617588810 |
| Authorized Official Credential | RPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
ME0076092 | FL | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ACTIVE LIFE SOLUTIONS, INC. | 2201 Camp Avenue, Merrick, Ny 11566 |
| Street Address |
850 W INDIANTOWN RD SUITE C |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215903034 | Pal Sports Medicine, Inc. | Clinic/Center | 850 W Indiantown Rd, Jupiter, FL 33458 | 2006-02-23 |
| 1902972037 | Rosaline J. Ruiz-go | Physical Therapist | 850 W Indiantown Rd, Jupiter, FL 33458-7539 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457199 | Hp Mso, LLC | Clinic/Center | 1090 Jupiter Park Dr Fl 2, Jupiter, FL 33458-8939 | 2018-08-15 |
| 1902382278 | Jupiter Chiropractic and Sports Medicine, Pllc | Clinic/Center | 1701 Military Trl Ste 145b, Jupiter, FL 33458-6330 | 2018-07-19 |
| 1902258833 | Thomas Smith | Clinic/Center | 1001 N Us Highway 1, Suite 500, Jupiter, FL 33477-4482 | 2016-07-03 |
| 1316304983 | Blue Eyed Ocean Pllc | Clinic/Center | 108 Intracoastal Pointe Dr, Suite 100, Jupiter, FL 33477-5036 | 2016-01-26 |
| 1710231501 | Core Within Healing Center | Clinic/Center | 17380 Alt A1a, Jupiter, FL 33477-5860 | 2012-11-01 |
| 1629307400 | Jacob J. Freiman, M.d., P.a. | Clinic/Center | 600 Heritage Dr, Suite 220, Jupiter, FL 33458-3097 | 2009-12-08 |
| 1679705776 | Unified Health Systems Inc | Clinic/Center | 4601 Military Trl, Suite 205, Jupiter, FL 33458-4834 | 2009-08-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.