Provider Demographics
NPI:1235002676
Name:LIFESTYLE BY DESIGN, LLC
Entity type:Organization
Organization Name:LIFESTYLE BY DESIGN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-937-8186
Mailing Address - Street 1:135 WESTON RD # 106
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1111
Mailing Address - Country:US
Mailing Address - Phone:954-937-8186
Mailing Address - Fax:954-937-8186
Practice Address - Street 1:2800 W PROSPECT RD # 106
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-2510
Practice Address - Country:US
Practice Address - Phone:954-937-8186
Practice Address - Fax:954-937-8186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)