| Service Healing Clinic Inc. | |
|
4300 10th Ave N Suite 3 Lake Worth FL 33461-2322 | |
| (561) 584-0315 | |
| (305) 675-2668 |
| Full Name | Service Healing Clinic Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4300 10th Ave N, Lake Worth, Florida |
| Authorized Official Name and Position | Humberto Machin (PRESIDENT) |
| Authorized Official Contact | 5615840315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Service Healing Clinic Inc. 4300 10th Ave N Suite 3 Lake Worth FL 33461-2322 Ph: (561) 584-0315 | Service Healing Clinic Inc. 4300 10th Ave N Suite 3 Lake Worth FL 33461-2322 Ph: (561) 584-0315 |
| NPI Number | 1073679056 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073679056 | NPI | - | NPPES |
| HCC7438 | Other | FL | AHCA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC7438 (Florida) | Primary |
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