Organization
LW MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY HERFIELD (CEO)
(561) 704-6781
Entity
Organization
Contact information
Practice address
19 S DIXIE HWY, LAKE WORTH, FL 33460-3727
(561) 704-6781
(561) 209-0868
Mailing address
7601 N FEDERAL HWY STE 245A, BOCA RATON, FL 33487-1672
(561) 704-6781
(561) 209-0868
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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