Life MD

NPI #1245607589 in Boynton Beach, Florida

Provider Information

NPI Number: 1245607589
Entity Type: Organization
Organization Name: Life MD
Primary Specialty: General Practice
Enumeration Date: Aug 21, 2015
Last Updated: Aug 21, 2015

Practice Location

Address: 1901 S CONGRESS AVE
Address 2: SUITE 150
City: Boynton Beach
State: Florida
ZIP Code: 33426-6556
Phone: (866) 954-8281

Authorized Official

Name: MARK L VOLLARO
Title: PRESIDENT
Phone: (866) 954-8281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
General Practice	208D00000X	Primary

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