Organization
LUXURY QUALITY TYME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDON SMITH II LMT (OWNER/LMT)
(561) 801-8002
Entity
Organization
Contact information
Practice address
717 45TH ST, WEST PALM BEACH, FL 33407-2929
(561) 801-8002
(561) 844-4166
Mailing address
717 45TH ST, WEST PALM BEACH, FL 33407-2929
(561) 801-8002
(561) 844-4166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA66976
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13950338
LUXURY QUALITY TYME INC CAQH NUMBER
FL
01
—
623618300
LUXURY QUALITY TYME INC WORKER'S COMP NUMBER
FL
01
—
MA66976
LUXURY QUALITY TYME INC MASSAGE LICENSE NUMBER
FL
Enumeration date
03/18/2017
Last updated
03/18/2017
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