Organization
LIFEWORKS WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID I MINKOFF (PRESIDENT)
(727) 466-6789
Entity
Organization
Contact information
Practice address
301 TURNER ST, CLEARWATER, FL 33756-5326
(727) 466-6789
(727) 451-1010
Mailing address
301 TURNER ST., CLEARWATER, FL 33756-5326
(727) 466-6789
(727) 451-1010
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33369
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
08/29/2006
Last updated
08/25/2011
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