| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992865240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC5461 (Florida) | Primary |
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