Organization
OASIS RECOVERY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA IACULLO (BILLING)
(954) 415-8781
Entity
Organization
Contact information
Practice address
7350 LAKE WORTH RD, LAKE WORTH, FL 33467-2529
(954) 415-8781
Mailing address
7350 LAKE WORTH RD, LAKE WORTH, FL 33467-2529
(954) 415-8781
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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