OrganizationActive
Lifestyle Wellness Center of the Palm Beaches LLC
NPI 1104071943 · Multi-Specialty Clinic/Center · Royal Palm Beach, FL
Provider details
- NPI number
- 1104071943
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandy Waldron, Billing Admin.(772) 221-0190
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11903 Southern Blvd Ste 110
Royal Palm Beach, FL 33411-7644
Phone: (561) 386-2213
Street-level locationGet directions
Mailing address
11903 Southern Blvd
Royal Palm Beach, FL 33411
Registry dates
- Enumerated
- 2008-11-20
- Last updated
- 2008-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.