| New Service Pain Lejandro Inc | |
|
224 Datura St Suite 200 West Palm Beach FL 33401-5624 | |
| (305) 509-0602 | |
| (305) 675-2668 |
| Full Name | New Service Pain Lejandro Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 224 Datura St, West Palm Beach, Florida |
| Authorized Official Name and Position | Alejandro Rivas (PRESIDENT) |
| Authorized Official Contact | 3055090602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Service Pain Lejandro Inc 224 Datura St Suite 200 West Palm Beach FL 33401-5624 Ph: (305) 509-0602 | New Service Pain Lejandro Inc 224 Datura St Suite 200 West Palm Beach FL 33401-5624 Ph: (305) 509-0602 |
| NPI Number | 1770607178 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770607178 | NPI | - | NPPES |
| HCC7558 | Other | FL | AHCA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC7558 (Florida) | Primary |
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