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
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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