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Organization
LIFESTYLE WELLNESS CENTER OF THE PALM BEACHES LLC
Active
Organization
LIFESTYLE WELLNESS CENTER OF THE PALM BEACHES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY M WALDRON (BILLING ADMIN.)
(772) 221-0190
Entity
Organization
Contact information
Practice address
11903 SOUTHERN BLVD STE 110, ROYAL PALM BEACH, FL 33411-7644
(561) 386-2213
Mailing address
11903 SOUTHERN BLVD, SUITE 110, ROYAL PALM BEACH, FL 33411
(561) 386-2213
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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