Organization
GLOBAL LIGH MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIOMARA BAULLOSA (PRESIDENT)
(954) 309-4906
Entity
Organization
Contact information
Practice address
2121 10TH AVE NORTH, LAKE WORTH, FL 33461-3455
(561) 540-9777
Mailing address
2121 10TH AVE N, LAKE WORTH, FL 33461-3345
(561) 540-9777
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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