| Service Pain Healing Labra Inc | |
|
230 S Dixie Hwy Suite 102 Lake Worth FL 33460-4154 | |
| (561) 584-0315 | |
| (305) 675-2668 |
| Full Name | Service Pain Healing Labra Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 230 S Dixie Hwy, Lake Worth, Florida |
| Authorized Official Name and Position | Osvaldo Labrador Lopez (PRESIDENT) |
| Authorized Official Contact | 5615840316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Service Pain Healing Labra Inc 230 S Dixie Hwy Suite 102 Lake Worth FL 33460-4154 Ph: (561) 584-0315 | Service Pain Healing Labra Inc 230 S Dixie Hwy Suite 102 Lake Worth FL 33460-4154 Ph: (561) 584-0315 |
| NPI Number | 1417082454 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417082454 | NPI | - | NPPES |
| HCC7523 | Other | FL | AHCA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC7523 (Florida) | Primary |
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