Organization
AGAPE ADVANCED INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE J MAVROOKAS (OWNER)
(754) 200-4373
Entity
Organization
Contact information
Practice address
1601 NE 26TH ST, WILTON MANORS, FL 33305-1410
(888) 981-9107
Mailing address
1164 E OAKLAND PARK BLVD STE 101, OAKLAND PARK, FL 33334-2709
(754) 200-4373
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0618128360001
FL
324500000X
Substance Abuse Rehabilitation Facility
Primary
0601
FL
Other
Enumeration date
03/07/2017
Last updated
04/16/2025
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