Organization
HOLISTIX MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WATKINS MSW (COO)
(561) 213-4103
Entity
Organization
Contact information
Practice address
1815 E COMMERCIAL BLVD, STE 206, FT LAUDERDALE, FL 33308-3760
(954) 941-3413
(754) 200-6283
Mailing address
1815 E COMMERCIAL BLVD, STE 206, FT LAUDERDALE, FL 33308-3760
(954) 941-3413
(754) 200-6283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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