| Ponsol Lake Worth Llc | |
|
7775 Lake Worth Rd Lake Worth FL 33467-2519 | |
| (786) 625-7100 | |
| Not Available |
| Full Name | Ponsol Lake Worth Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 7775 Lake Worth Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Fernando Espinosa (PRESIDENT) |
| Authorized Official Contact | 7866257100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponsol Lake Worth Llc 7801 Sw 125th St Pinecrest FL 33156-6058 Ph: () - | Ponsol Lake Worth Llc 7775 Lake Worth Rd Lake Worth FL 33467-2519 Ph: (786) 625-7100 |
| NPI Number | 1952111767 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952111767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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