Organization
HEALTH & WELLNESS REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MADEUS (CLINICAL COORDINATOR)
(561) 439-8220
Entity
Organization
Contact information
Practice address
2407 10TH AVE N, LAKE WORTH, FL 33461-3128
(561) 439-8219
Mailing address
2407 10TH AVE N, LAKE WORTH, FL 33461-3128
(561) 439-8219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
HCC4628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC4628
HEALTH CARE STANDARD
FL
Enumeration date
06/11/2006
Last updated
08/22/2020
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