Healthcare Provider Details

I. General information

NPI: 1023623402
Provider Name (Legal Business Name): RWC HEALTH HOLDINGS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2020
Last Update Date: 09/11/2020
Certification Date: 09/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 QUANTUM LAKES DR STE 203
BOYNTON BEACH FL
33426-8323
US

IV. Provider business mailing address

2500 QUANTUM LAKES DR STE 203
BOYNTON BEACH FL
33426-8323
US

V. Phone/Fax

Practice location:
  • Phone: 561-602-5224
  • Fax: 833-562-8893
Mailing address:
  • Phone: 561-602-5224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN CHOI
Title or Position: OWNER
Credential:
Phone: 561-602-5224