Organization
SOUTH BEACH DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA HURWIT ARNP (OWNER)
(305) 992-8117
Entity
Organization
Contact information
Practice address
85 NW 168TH STREET, NORTH MIAMI BEACH, FL 33169-6053
(305) 430-6040
(305) 705-4269
Mailing address
16400 NW 2ND AVENUE SUITE 200, NORTH MIAMI BEACH, FL 33169-6035
(305) 430-6040
(305) 705-4269
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
001957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001957
DCF STATE LICENSE
FL
01
—
PROV-001957
DCF PROVISIONAL LICENSE NUMBER
FL
Enumeration date
05/10/2018
Last updated
08/12/2021
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