Organization · NPI-2

Core Life Link INC

Internal Medicine, Infectious Disease · Daytona Beach, FL

NPI number1811832850

StatusActive

Last updated in NPPESOct 1, 2026

Details

NPI: 1811832850
Entity type: Organization (NPI-2)
Legal business name: Core Life Link INC
Organization subpart: No
Enumeration date: Apr 23, 2026
Certification date: Oct 1, 2026
Last updated: Oct 1, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RI0200X	Internal Medicine, Infectious Disease	–	–	Yes
171M00000X	Case Manager/Care Coordinator	–	–
174200000X	Meals	–	–
207QA0505X	Family Medicine, Adult Medicine	–	–
2083P0901X	Preventive Medicine, Public Health & General Preventive Medicine	–	–
251V00000X	Voluntary or Charitable	–	–
261Q00000X	Clinic/Center	–	–
363L00000X	Nurse Practitioner	–	–

Practice location

1020 Mason Ave
Daytona Beach, FL 32117-4612

Phone 844-444-3897 · Fax 833-455-6962

Mailing address

1020 Mason Ave
Daytona Beach, FL 32117-4612

Phone 844-444-3897 · Fax 833-455-6962

Authorized official

Mhai Nang Agraba
Founder/Ceo
9046148404

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