Service Healing Clinic Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC7438 Issued in FL

Legal business name

SERVICE HEALING CLINIC INC.

Practice address

4300 10TH Ave N
Suite 3
Lake Worth, FL 33461-2322

Phone

(561) 584-0315

Fax

(305) 675-2668

NPI assigned

Dec 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Humberto Machin

Title

President

Phone

(561) 584-0315

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073679056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 10TH AVE N",
            "address_2": "SUITE 3",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612322",
            "telephone_number": "561-584-0315",
            "fax_number": "305-675-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 10TH AVE N",
            "address_2": "SUITE 3",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612322",
            "telephone_number": "561-584-0315",
            "fax_number": "305-675-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE HEALING CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACHIN",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-584-0315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC7438",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.