Age Defying Experts South Florida LLC
NPI #1588250948 in Coconut Creek, Florida
Provider Information
- NPI Number
- 1588250948
- Entity Type
- Organization
- Organization Name
- Age Defying Experts South Florida LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Dec 18, 2020
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 5379 LYONS RD # 1599
- City
- Coconut Creek
- State
- Florida
- ZIP Code
- 33073-2810
- Phone
- (786) 505-4423
Authorized Official
- Name
- DANIELA CHETAN, APRN
- Title
- NURSE PRACTITIONER
- Phone
- (786) 505-4423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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