SMART FOR LIFE PALM BEACH COUNTY
Ambulatory Health at Northlake Blvd, West Palm Beach, FL

License number
Florida ME26716
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MRS. NANCY GREENE CORN
Title: MGR/OWNER
Phone: (561) 745-4888
Address
Address
4210 Northlake Blvd, West Palm Beach, FL 33410
National Provider ID: 1801168844
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SMART FOR LIFE PALM BEACH COUNTY at bizstanding.com

SMART FOR LIFE PALM BEACH COUNTY, LLC

West Palm Beach, FL  -  Jupiter, FL

Registration:
Feb 2, 2011
Addresses:
4210 Northlake Blvd, Palm Beach Gardens, FL 33410 (Physical)
2532 W Indiantown Rd, Jupiter, FL 33458
State ID:
L11000013664
Business type:
Florida Limited Liability Company
Managing Members:
Nancy G Corn (Managing Member), Gdn Towne Sq, Palm Beach Gardens, FL 33410 (Physical),Sasson Md Moulavi (Managing Member), 190 Glades Rd, Boca Raton, FL 33432 (Physical),Ancy G. Corn Managing Member, inactive
Agent:
Smart For Life Weight Management,4210 Northlake Blvd, Palm Beach Gardens, FL 33410 (Physical)
EIN:
27-5377965

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