Service Pain Healing Labra Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC7523 Issued in FL

Legal business name

SERVICE PAIN HEALING LABRA INC

Practice address

230 S Dixie Hwy
Suite 102
Lake Worth, FL 33460-4154

Phone

(561) 584-0315

Fax

(305) 675-2668

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Osvaldo Labrador Lopez

Title

President

Phone

(561) 584-0316

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417082454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S DIXIE HWY",
            "address_2": "SUITE 102",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604154",
            "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": "230 S DIXIE HWY",
            "address_2": "SUITE 102",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604154",
            "telephone_number": "561-584-0315",
            "fax_number": "305-675-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE PAIN HEALING LABRA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_middle_name": "LABRADOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-584-0316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC7523",
            "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.