Organization
CLICKACLINIC COM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE J BENTVENA (CEO AND OWNER)
(561) 433-8500
Entity
Organization
Contact information
Practice address
6252 S CONGRESS AVE, SUITE J1,2, LANTANA, FL 33462-2352
(561) 601-1290
(561) 641-6821
Mailing address
6252 S CONGRESS AVE, SUITE J1,2, LANTANA, FL 33462-2352
(561) 601-1290
(561) 641-6821
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC10231
AHCA
FL
Enumeration date
05/29/2014
Last updated
12/11/2017
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