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NPI Code Detail

MEDICARE: LB CENTER CORP

MEDICARE: LB CENTER CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1497553390
Entity Type Code : Organization
Provider Name (Legal Business Name) : LB CENTER CORP
Provider Business Mailing Address
First Line : 8205 BELVEDERE RD APT 204
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-6233
Country : US
Telephone Number : 561-643-1345
Fax Number :
Provider Business Practice Location Address
First Line : 8205 BELVEDERE RD APT 204
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-6233
Country : US
Telephone Number : 561-643-1345
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MARTA ROSA FERNANDEZ
Credential : M.D
Telephone Number : 561-643-1345
Provider Enumeration Date : 03/05/2025
Last Update Date : 03/05/2025

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