Organization
LANTANA DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P OFFIDANI (MGRM)
(305) 428-3093
Entity
Organization
Contact information
Practice address
806 LANTANA RD, LANTANA, FL 33462-1509
(561) 588-8323
Mailing address
806 LANTANA RD, LANTANA, FL 33462-1509
(561) 588-8323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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