Organization
SERVICE HEALING CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUMBERTO MACHIN (PRESIDENT)
(561) 584-0315
Entity
Organization
Contact information
Practice address
4300 10TH AVE N, SUITE 3, LAKE WORTH, FL 33461-2322
(561) 584-0315
(305) 675-2668
Mailing address
4300 10TH AVE N, SUITE 3, LAKE WORTH, FL 33461-2322
(561) 584-0315
(305) 675-2668
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7438
AHCA LICENSE
FL
Enumeration date
12/28/2006
Last updated
08/22/2020
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