New Life of West Palm, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC5461 Issued in FL

Legal business name

NEW LIFE OF WEST PALM, INC

Practice address

3767 Lake Worth Rd
102
Lake Worth, FL 33461-4048

Phone

(786) 985-4065

Fax

(786) 985-4065

NPI assigned

Dec 9, 2006

Organization subpart

No

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

Authorized official

Name

Alejandro Rotter

Title

President

Phone

(786) 985-4065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992865240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3767 LAKE WORTH RD",
            "address_2": "102",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614048",
            "telephone_number": "786-985-4065",
            "fax_number": "786-985-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 LAKE WORTH RD",
            "address_2": "102",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614048",
            "telephone_number": "786-985-4065",
            "fax_number": "786-985-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE OF WEST PALM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTTER",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-985-4065"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC5461",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.