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Organization

THE ANTI-AGING CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LYUBA STANISLAVOVN ZHIGALINA PHYSICAL THERAPIST (DIRECTOR)
(561) 733-6768
Entity
Organization

Contact information

Practice address
2708 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7502
(561) 733-6768
(561) 733-1860
Mailing address
2708 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7502
(561) 733-6768
(561) 733-1860

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
MA29681
FL

Other

Enumeration date
09/09/2008
Last updated
09/09/2008
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