Organization
REBEKAHS HAVEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PABLO LOPEZ DE LEON (PRESIDENT)
(561) 355-6929
Entity
Organization
Contact information
Practice address
791 HAVERHILL RD N, HAVERHILL, FL 33415-1342
(561) 373-8656
Mailing address
791 HAVERHILL RD N, HAVERHILL, FL 33415-1342
(561) 373-8656
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D2074273
FL
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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