Organization
PROFESSIONAL HEALING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO LI SR. LMT (OWNER)
(863) 937-8814
Entity
Organization
Contact information
Practice address
5130 S FLORIDA AVE, SUITE 410, LAKELAND, FL 33813-2537
(863) 937-8814
(863) 937-8815
Mailing address
5130 S FLORIDA AVE, SUITE 410, LAKELAND, FL 33813-2537
(863) 937-8814
(863) 937-8815
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7925
FL
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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