| Center For Life Enhancement Llc | |
|
21 W Fee Ave Suite C Melbourne FL 32901 | |
| (321) 951-3949 | |
| (321) 951-3987 |
| Full Name | Center For Life Enhancement Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 21 W Fee Ave, Melbourne, Florida |
| Authorized Official Name and Position | Paul G Seitz (OWNER) |
| Authorized Official Contact | 3216983594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Life Enhancement Llc 21 W Fee Ave Suite C Melbourne FL 32901 Ph: (321) 951-3949 | Center For Life Enhancement Llc 21 W Fee Ave Suite C Melbourne FL 32901 Ph: (321) 951-3949 |
| NPI Number | 1629148960 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629148960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6564 (Florida) | Primary |
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