Organization
ATLANTIC BIOTECH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORAN JANDJEL (C.O.O.)
(754) 222-5150
Entity
Organization
Contact information
Practice address
1501 GREEN RD, SUITE A, POMPANO BEACH, FL 33064-1077
(754) 222-5150
(954) 482-0125
Mailing address
1501 GREEN RD, SUITE A, POMPANO BEACH, FL 33064-1077
(754) 222-5150
(954) 482-0125
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D2087683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2087683
CLIA
FL
Enumeration date
01/23/2015
Last updated
01/23/2015
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