New Life Of West Palm, Inc | |
3767 Lake Worth Rd 102 Lake Worth FL 33461-4048 | |
(786) 985-4065 | |
(786) 985-4065 |
Full Name | New Life Of West Palm, Inc |
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Speciality | Clinic/center |
Location | 3767 Lake Worth Rd, Lake Worth, Florida |
Authorized Official Name and Position | Alejandro Rotter (PRESIDENT) |
Authorized Official Contact | 7869854065 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Life Of West Palm, Inc 3767 Lake Worth Rd 102 Lake Worth FL 33461-4048 Ph: (786) 985-4065 | New Life Of West Palm, Inc 3767 Lake Worth Rd 102 Lake Worth FL 33461-4048 Ph: (786) 985-4065 |
NPI Number | 1992865240 |
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Provider Enumeration Date | 12/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1992865240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | HCC5461 (Florida) | Primary |
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