Organization
COALITION TOXICOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BROWN (CEO)
(561) 299-8122
Entity
Organization
Contact information
Practice address
555 HERITAGE DR, STE 130, JUPITER, FL 33458-5285
(561) 299-8122
Mailing address
639 E OCEAN AVE, STE 205, BOYNTON BEACH, FL 33435-5011
(561) 299-8122
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800027320
FL
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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