LIFE SPAN INC

PORT ST LUCIE, FL
NPI1720458110
Entity TypeOrganization
Authorized ContactMERCEDES BOATWRIGHT
Administrative
352-257-0575
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2015-09-29
Last Update Date2015-09-29
Business Address
LIFE SPAN INC
265 SW LAKE FOREST WAY
PORT ST LUCIE, FL 34986-1771
Phone number: 813-477-0631
Mailing Address
LIFE SPAN INC
265 SW LAKE FOREST WAY
PORT ST LUCIE, FL 34986-1771
Phone number: 813-477-0631
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