Independent Life Llc

NPI 1023208972 - Clinic/Center - 261QR0401X

NPI Details
NPI 1023208972
Enumeration Date 07/26/2007
Last Updated 01/02/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PRINCE E. PRINCE
Position AUTHORIZED.REPRESENTATIVE
Phone (561) 385-0868
Fax
Practice Location
4047 OCKEECHOBEE BLVD.
STE 123
WEST PALM BEACH FL, 33409-3236, US
Phone (561) 385-0868
Fax
Business Location
4047 OCKEECHOBEE BLVD.
STE 123
WEST PALM BEACH FL, 33409-3236, US
Phone (561) 385-0868
Fax
Toxanomy
Taxonomy Code 261QR0401X
License State
License Number
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According to our database, Independent Life Llc NPI is 1023208972, taxonomy code is 261QR0401X Independent Life Llc physically located at 4047 Ockeechobee Blvd., West Palm Beach FL, 33409-3236. NPI Number 1033115704 has the healthcare provider type.

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1023208972 NPI number is provided on an as is basis without warranty of any kind. 1023208972 is maintained by the National Plan & Provider Enumeration System. The contents of Independent Life Llc are for informational purposes only.