DAVID A LICKSTEIN MD PA
Medical Practice at Pga Blvd, West Palm Beach, FL

License number
Florida ME84765
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: DAVID ALAN LICKSTEIN M.D.
Title: OWNER
Phone: (561) 847-0970
Address
Address
5540 Pga Blvd SUITE 200, West Palm Beach, FL 33418
National Provider ID: 1740738632
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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David A. Lickstein, M.D., PA

West Palm Beach, FL

Industry:
Medical Doctor's Office
Registration:
Jun 30, 2005
Addresses:
11020 Rca Ctr Dr, West Palm Beach, FL 33410
927 45 St, West Palm Beach, FL 33407
State ID:
P05000093620
Business type:
Domestic for Profit Corporation
President, Treasurer, Director, Secretary:
David A. Lickstein (President, Treasurer, Director, Secretary)
Agent:
Fred K. Lickstein

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