Organization
SP BEHAVIORAL LLC
Active
Organization
SP BEHAVIORAL LLC
Active
Other names
Sandy Pines
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCCARTHY (CEO)
(561) 744-0211
Entity
Organization
Contact information
Practice address
11301 SE TEQUESTA TER, TEQUESTA, FL 33469-8146
(561) 744-0211
(561) 972-4481
Mailing address
11301 SE TEQUESTA TER, TEQUESTA, FL 33469-8146
(561) 744-0211
(561) 972-4481
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24689
FL
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5701974
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/06/2010
Last updated
09/30/2010
Update your record
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