Organization
PIVOTAL HEALTH AND WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN LASTOFSKY DC (OWNER)
(561) 434-4900
Entity
Organization
Contact information
Practice address
2290 10TH AVE N STE 102, LAKE WORTH, FL 33461-6609
(561) 434-4900
Mailing address
2290 10TH AVE N STE 102, LAKE WORTH, FL 33461-6609
(561) 434-4900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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