| NPI Details | |
|---|---|
| NPI | 1013070002 |
| Enumeration Date | 12/19/2006 |
| Last Updated | 03/24/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | NELSON NELSON |
| Position | REIMBURSEMENT |
| Phone | (561) 586-7404 |
| Fax | (561) 586-7404 |
| Practice Location | |
|---|---|
| 1201 12TH AVE S LAKE WORTH FL, 33460-5409, US |
|
| Phone | (561) 586-7404 |
| Fax | (561) 586-7404 |
| Business Location | |
|---|---|
| 1201 12TH AVE S LAKE WORTH FL, 33460-5409, US |
|
| Phone | (561) 586-7404 |
| Fax | (561) 586-7404 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 314000000X |
| License State | |
| License Number | |
| Remove 1013070002 NPI Number | |
According to our database, Lake Worth Enterprise Llc NPI is 1013070002, taxonomy code is 314000000X Lake Worth Enterprise Llc physically located at 1201 12th Ave S, Lake Worth FL, 33460-5409. NPI Number 1033115704 has the healthcare provider type.
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1013070002 NPI number is provided on an as is basis without warranty of any kind. 1013070002 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Worth Enterprise Llc are for informational purposes only.
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