Organization
LE RADIANT RECOVERY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL BEJERANO (OWNER)
(954) 682-6411
Entity
Organization
Contact information
Practice address
3440 HOLLYWOOD BLVD STE 415, HOLLYWOOD, FL 33021-6933
(954) 682-6411
Mailing address
3440 HOLLYWOOD BLVD STE 415, HOLLYWOOD, FL 33021-6933
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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