Organization
NEW LIFE OF WEST PALM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO ROTTER (PRESIDENT)
(786) 985-4065
Entity
Organization
Contact information
Practice address
3767 LAKE WORTH RD, 102, LAKE WORTH, FL 33461-4048
(786) 985-4065
(786) 985-4065
Mailing address
3767 LAKE WORTH RD, 102, LAKE WORTH, FL 33461-4048
(786) 985-4065
(786) 985-4065
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC5461
FL
Other
Enumeration date
12/09/2006
Last updated
08/22/2020
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