Organization
INTEGRATIVE CANCER THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAN NICOLE LEZARK (PRACTICE MANAGER)
(561) 886-0976
Entity
Organization
Contact information
Practice address
4800 N. FEDERAL HWY., SUITE B300, BOCA RATON, FL 33431-3409
(561) 886-0976
(561) 367-7388
Mailing address
4800 N FEDERAL HWY, SUITE B306, BOCA RATON, FL 33431-5188
(561) 886-0976
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
ME70312
FL
Other
Enumeration date
04/14/2014
Last updated
09/14/2018
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