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General NPI Number Information
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NPI Number | 1518543776
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Entity Type | Organization
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Legal Business Name | RECH CLINIC LLC
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 6367 TRAILS OF FOXFORD CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-5133
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Country | US
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Telephone | 561-541-0326
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Fax |
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Provider Business Mailing Address
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Address Line | 6367 TRAILS OF FOXFORD CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-5133
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Country | US
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Telephone | 561-541-0326
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | CARLOS REYES CHOUZA
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Credential | APRN
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Telephone | 561-541-0326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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