Organization
WAY OF LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA IACULLO (OFFICE MANAGER)
(561) 715-9288
Entity
Organization
Contact information
Practice address
1015 N F ST, LAKE WORTH, FL 33460-2152
(305) 684-4788
(888) 336-1003
Mailing address
1015 N F ST, LAKE WORTH, FL 33460-2152
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D2053722
FL
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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