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Individual Provider (NPI-1) Active

Internal Medicine, Addiction Medicine

Provider Information

NPI Number
1003809450
Provider Type
Individual Provider (NPI-1)
Credentials
do
Status
Active

Contact & Location

Address
1590 S CONGRESS AVE, PALM SPRINGS, FL, 334065957
Phone
(570) 466-5757

Specialties & Taxonomies

Internal Medicine, Addiction Medicine License: PA #OS007618L
Internal Medicine, Addiction Medicine License: IL #036162516
Preventive Medicine, Addiction Medicine License: IN #02005078A
Preventive Medicine, Addiction Medicine License: FL #OS14219
Preventive Medicine, Addiction Medicine License: AZ #007179
Preventive Medicine, Addiction Medicine License: WA #OP60707874
Internal Medicine, Addiction Medicine Primary License: NJ #25MB11582500
Internal Medicine, Addiction Medicine License: CO #DR.0068878
Internal Medicine, Addiction Medicine License: NV #DO3188
Internal Medicine, Addiction Medicine License: CA #18636

All Addresses

LOCATION

1590 S CONGRESS AVE

PALM SPRINGS, FL, 334065957

(570) 466-5757

MAILING

4036 ARTESA DR

BOYNTON BEACH, FL, 334362628

(570) 466-5757