Organization
LIFESTYLE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE CASANOVA M.D. (PRESIDENT)
(561) 540-4446
Entity
Organization
Contact information
Practice address
2311 10TH AVE N, SUITE 9, LAKE WORTH, FL 33461-6605
(561) 586-5326
(561) 586-7237
Mailing address
2311 10TH AVE N, SUITE 9, LAKE WORTH, FL 33461-6605
(561) 586-5326
(561) 586-7237
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7280
FL
Other
Enumeration date
07/28/2009
Last updated
07/29/2009
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