| Dersa Aba Llc | |
|
2896 Via Vellaria Lake Worth FL 33461-1749 | |
| (561) 460-2811 | |
| Not Available |
| Full Name | Dersa Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2896 Via Vellaria, Lake Worth, Florida |
| Authorized Official Name and Position | Alexander Sanchez (PRESIDENT) |
| Authorized Official Contact | 5613458766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dersa Aba Llc 2896 Via Vellaria Lake Worth FL 33461-1749 Ph: (561) 460-2811 | Dersa Aba Llc 2896 Via Vellaria Lake Worth FL 33461-1749 Ph: (561) 460-2811 |
| NPI Number | 1649089046 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649089046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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