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Organization

A NEW START - FLORIDA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOIS EDWARDS (OPERATIONS OFFICER)
(270) 754-3494
Entity
Organization

Contact information

Practice address
1514 S ALEXANDER ST STE 202, PLANT CITY, FL 33563-8418
(813) 441-4757
(813) 441-4968
Mailing address
222 PHILLIP STONE WAY, CENTRAL CITY, KY 42330-1929
(270) 754-3494
(270) 754-3499

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
11/27/2017
Last updated
11/27/2017
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