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Organization
BANYAN SEBRING LLC
Active
Organization
BANYAN SEBRING LLC
Active
Other names
Banyan Tampa
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA NICHOLE NAUMAN (CONTRACTING AND CRED MANAGER)
(410) 800-8861
Entity
Organization
Contact information
Practice address
10800 TEMPLE TER, SEMINOLE, FL 33772-4736
(863) 451-0084
Mailing address
225 N FEDERAL HWY, POMPANO BEACH, FL 33062-4319
(954) 533-7705
(954) 781-7173
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
02/24/2025
Last updated
07/15/2026
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