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Organization
REJUVENX OF BOYNTON BEACH LLC
Active
Organization
REJUVENX OF BOYNTON BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY M DECANIO DC (OWNER)
(561) 422-1819
Entity
Organization
Contact information
Practice address
3200 S CONGRESS AVE STE 102, BOYNTON BEACH, FL 33426-9041
(561) 422-1819
Mailing address
1470A ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411-1608
(561) 422-1819
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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