| Lifemax Medical Support Center Llc | |
|
2260 Palm Beach Lakes Blvd Ste 212 West Palm Beach FL 33409-3411 | |
| (321) 900-8330 | |
| Not Available |
| Full Name | Lifemax Medical Support Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2260 Palm Beach Lakes Blvd Ste 212, West Palm Beach, Florida |
| Authorized Official Name and Position | Yolanda Ruiz Rodriguez (PRESIDENT) |
| Authorized Official Contact | 3219008330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifemax Medical Support Center Llc 2260 Palm Beach Lakes Blvd Ste 212 West Palm Beach FL 33409-3411 Ph: (321) 900-8330 | Lifemax Medical Support Center Llc 2260 Palm Beach Lakes Blvd Ste 212 West Palm Beach FL 33409-3411 Ph: (321) 900-8330 |
| NPI Number | 1174255863 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174255863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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