Organization
NEW LIGHT MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA BEAMAN (MANAGER OF ADMINISTRATION)
(561) 336-9488
Entity
Organization
Contact information
Practice address
7601 N FEDERAL HWY, SUITE 100B, BOCA RATON, FL 33487-1657
(561) 332-5026
Mailing address
7601 N FEDERAL HWY, SUITE 100B, BOCA RATON, FL 33487-1657
(561) 332-5026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
12/21/2017
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