Beachway Therapy Treatment Center LLC
Physiological Laboratory in Delray Beach, FL. Organization (NPI-2).
NPI number1083950752
StatusActive
Last updated in NPPESDec 27, 2012
Details
- NPI
- 1083950752
- Entity type
- Organization (NPI-2)
- Legal business name
- Beachway Therapy Treatment Center LLC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2012
- Last updated
- Dec 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | 800026636 | FL | Yes |
Practice location
705 Bond Way Ste BDelray Beach, FL 33483-5826
Phone 561-251-8582
Mailing address
705 Bond Way Ste BDelray Beach, FL 33483-5826
Phone 561-251-8582
Authorized official
Olivia Marie Holmes
Office Manager
5612518582
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