Organization
LQV WEST PALM BEACH
Active
Other names
Liquivida Lounge
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE ENGLE (CORPORATE DISTRICT MANAGER)
(954) 650-2130
Entity
Organization
Contact information
Practice address
1460 HIPPOCRATES WAY, 2ND FLOOR, WEST PALM, FL 33411
(561) 463-8227
Mailing address
1460 HIPPOCRATES WAY, 2ND FLOOR, WEST PALM, FL 33411
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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