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Organization

TITAN HEALTH TEAM, INC.

Active
Parent organization
TITAN HEALTH TEAM, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
TITAN HEALTH TEAM, INC.
Authorized official
DR. DENISE C SANTUCCI MD (PRESIDENT)
(516) 224-4157
Entity
Organization

Contact information

Practice address
4 WESTGATE LN APT C, BOYNTON BEACH, FL 33436-6358
(516) 224-4157
(516) 864-4599
Mailing address
4 WESTGATE LN APT C, BOYNTON BEACH, FL 33436-6358

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
225164
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02365837
NY
Enumeration date
02/22/2018
Last updated
02/22/2018
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