Organization
B2G DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANIA QUESADA MD (MEDICAL DIRECTOR)
(954) 536-9549
Entity
Organization
Contact information
Practice address
1495 N PARK DR, WESTON, FL 33326-3215
(954) 319-2259
Mailing address
1495 N PARK DR, WESTON, FL 33326-3215
(954) 319-2259
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0647369300701
FL
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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