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Organization
ATHENA MEDICAL LLC
Active
Organization
ATHENA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ALZATE (CEO)
(954) 314-8202
Entity
Organization
Contact information
Practice address
45 W 17TH ST, RIVIERA BEACH, FL 33404-6121
(954) 314-8202
(954) 842-4347
Mailing address
9050 PINES BLVD STE 460, PEMBROKE PINES, FL 33024-6402
(954) 314-8202
(954) 842-4347
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/21/2020
Last updated
12/17/2020
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