MATTHEW LEE ISLAM

LAKE WORTH, FL
NPI1205378940
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy284300000X Special Hospital
Enumeration Date2016-11-11
Last Update Date2016-11-11
Business Address
-- MATTHEW LEE ISLAM
1733 3RD AVE N APT 11
LAKE WORTH, FL 33460-3286
Phone number: 561-312-9012
Mailing Address
-- MATTHEW LEE ISLAM
1733 3RD AVE N APT 11
LAKE WORTH, FL 33460-3286
Phone number: 561-312-9012