NPI 1124961412

The Life Center Complex, INC

Organisation General Practice Physician Dover, DE

Practice location

Address: 852 S Little Creek Rd, Dover, DE 19901-4722
Phone: (302) 407-5316
Mailing address: 812 Philadelphia Pike STE F, Wilmington, DE 19809-2371

Authorised official

Name: Forrest Watson
Title: Ceo
Phone: (302) 407-5316

Registered specialties (4)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Delaware →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

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Public Health & General Preventive Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

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Pediatric Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X

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Registry record

NPI: 1124961412
Entity type: Organization
NPI issued: 11 Apr 2026
Record last updated: 11 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.