Organization
WEST PALM GENERAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL ENRIQUE NOGUEIRA ALVAREZ (OWNER)
(561) 907-3606
Entity
Organization
Contact information
Practice address
2001 PALM BEACH LAKES BLVD STE 400, WEST PALM BEACH, FL 33409-6510
(561) 907-3606
Mailing address
2001 PALM BEACH LAKES BLVD STE 400, WEST PALM BEACH, FL 33409-6510
(561) 907-3606
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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