Provider Demographics
NPI:1629480546
Name:PASQUAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:PASQUAL HEALTH SERVICES, LLC
Other - Org Name:HEALTH CENTRAL OF THE PALM BEACHES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BIENVENIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-852-6260
Mailing Address - Street 1:1201 S FEDERAL HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-5644
Mailing Address - Country:US
Mailing Address - Phone:561-291-9709
Mailing Address - Fax:561-584-6895
Practice Address - Street 1:1201 S FEDERAL HWY
Practice Address - Street 2:SUITE B
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-5644
Practice Address - Country:US
Practice Address - Phone:561-291-9709
Practice Address - Fax:561-584-6895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service