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NPI Code Detail

MEDICARE: NELLE TECHNOLOGY SERVIVES, INC.

MEDICARE: NELLE TECHNOLOGY SERVIVES, INC.
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
1156F00000XTechnician/Technologist

General Provider Information

NPI Number : 1538781117
Entity Type Code : Organization
Provider Name (Legal Business Name) : NELLE TECHNOLOGY SERVIVES, INC.
Provider Business Mailing Address
First Line : 6644 MARBLETREE LN
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-7234
Country : US
Telephone Number : 516-351-4606
Fax Number :
Provider Business Practice Location Address
First Line : 6644 MARBLETREE LN
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-7234
Country : US
Telephone Number : 561-351-4606
Fax Number :
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : ERIK LEUM
Credential : BSC, MSIT
Telephone Number : 561-351-4606
Provider Enumeration Date : 05/18/2020
Last Update Date : 05/18/2020

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Directions to “NELLE TECHNOLOGY SERVIVES, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.