REBEKAHS HAVEN INC
Medical Laboratory at Haverhill Rd, West Palm Beach, FL

License number
Florida 10D2074273
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. PABLO LOPEZ DE LEON
Title: PRESIDENT
Phone: (561) 355-6929
Address
Address
791 Haverhill Rd N, West Palm Beach, FL 33415
National Provider ID: 1225455066
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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REBEKAH'S HAVEN INC

West Palm Beach, FL

Registration:
Feb 5, 2014
Addresses:
791 Haverhill N, West Palm Beach, FL 33415 (Physical)
315 11 St, West Palm Beach, FL 33401
State ID:
P14000011256
Business type:
Florida Profit Corporation
Presidents:
Pablo A Lopez Leon, 791 Haverhill N, West Palm Beach, FL 33415 (Physical),Pablo A Lopez De Leon (President)
Agent:
Pablo Lopez Leon,791 Haverhill N, West Palm Beach, FL 33415 (Physical)
EIN:
APPLIED FOR

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