Way Beyond Detox
NPI #1841689254 in Greenacres, Florida
Provider Information
- NPI Number
- 1841689254
- Entity Type
- Organization
- Organization Name
- Way Beyond Detox
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 22, 2015
- Last Updated
- Jan 22, 2015
Practice Location
- Address
- 6415 LAKE WORTH RD
- Address 2
- 102
- City
- Greenacres
- State
- Florida
- ZIP Code
- 33463-2910
- Phone
- (561) 404-5872
Authorized Official
- Name
- ANGELA IACULLO
- Title
- BILLING DIRECTOR
- Phone
- (561) 404-5872
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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