Healthcare Provider Details

I. General information

NPI: 1265265086
Provider Name (Legal Business Name): MEN'S ONLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N FLAGLER DR
WEST PALM BEACH FL
33401-4027
US

IV. Provider business mailing address

625 N FLAGLER DR
WEST PALM BEACH FL
33401-4027
US

V. Phone/Fax

Practice location:
  • Phone: 561-870-7254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEJANDRO LUIS MIQUEL
Title or Position: OWNER
Credential: MD
Phone: 561-870-7254