MEDICARE: NEW LIFE OF WEST PALM, 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
1	261Q00000X	Clinic/Center	HCC5461	FL

General Provider Information

NPI Number	:	1992865240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LIFE OF WEST PALM, INC

Provider Business Mailing Address
First Line	:	3767 LAKE WORTH RD
Second Line	:	102
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4048
Country	:	US
Telephone Number	:	786-985-4065
Fax Number	:	786-985-4065

Provider Business Practice Location Address
First Line	:	3767 LAKE WORTH RD
Second Line	:	102
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4048
Country	:	US
Telephone Number	:	786-985-4065
Fax Number	:	786-985-4065

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEJANDRO ROTTER
Credential	:
Telephone Number	:	786-985-4065

Provider Enumeration Date	:	12/09/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1134363765 — DR. MARION ROBERTS PH.D.
Practice Location Address:

3767 LAKE WORTH RD
LAKE WORTH, FL
33461-4048

Practice Phone: 561-968-5255
Practice Fax:

1134429103 — DR. JOHN CHRISTOPHER BRUNO D.C.
Practice Location Address:

3767 LAKE WORTH RD , SUITE 103
LAKE WORTH, FL
33461-4048

Practice Phone: 954-934-4390
Practice Fax:

1528942984 — WILKER DERONVIL
Practice Location Address:

3767 LAKE WORTH RD STE 114
PALM SPRINGS, FL
33461-4048

Practice Phone: 561-486-9352
Practice Fax: 561-408-1866

1821342296 — MRS. REBECCA JANE LASSETTER ACNP-BC
Practice Location Address:

1900 MISTLETOE BLVD STE 100
FORT WORTH, TX
76104-4048

Practice Phone: 817-338-1300
Practice Fax: 682-747-5141

1184377574 — JENNIFER NICOLE BECERRA NP
Practice Location Address:

1900 MISTLETOE BLVD STE 100
FORT WORTH, TX
76104-4048

Practice Phone: 817-338-1300
Practice Fax:

1336893999 — MICHELLE RENEE CRAVER APRN-CNP
Practice Location Address:

1900 MISTLETOE BLVD STE 100
FORT WORTH, TX
76104-4048

Practice Phone: 817-338-1300
Practice Fax: 682-747-5141

Directions to “NEW LIFE OF WEST PALM, 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.