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
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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