Organization
NICHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTINE STRATAKIS MD (SCIENTIFIC DIRECTOR)
(301) 451-3726
Entity
Organization
Contact information
Practice address
4200 S OCEAN BLVD, APARTMENT 201, SOUTH PALM BEACH, FL 33480-5873
(301) 515-1817
Mailing address
4200 S OCEAN BLVD, APARTMENT 201, SOUTH PALM BEACH, FL 33480-5873
(301) 515-1817
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1155347
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155347
MARYLAND LICENSE 1155347
MD
Enumeration date
03/25/2016
Last updated
03/25/2016
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