Organization
MULTISPECIALTY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISETTE TEN HOOPEN (MANAGING OWNER)
(305) 505-6881
Entity
Organization
Contact information
Practice address
8682 TOURMALINE BLVD, BOYNTON BEACH, FL 33472-2420
(561) 777-4402
(689) 348-4860
Mailing address
8682 TOURMALINE BLVD, BOYNTON BEACH, FL 33472-2420
(305) 505-6881
(561) 734-3158
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
174400000X
Specialist
Primary
—
FL
Other
Enumeration date
11/19/2012
Last updated
06/30/2023
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