Organization
CENTER FOR HEALTH & LONGEVITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DELUCA M.D. (CEO)
(954) 583-3335
Entity
Organization
Contact information
Practice address
1244 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2074
(954) 713-6118
(954) 337-2996
Mailing address
2499 GLADES RD, SUITE 305A, BOCA RATON, FL 33431-7209
(561) 416-4391
(954) 337-2996
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME102199
FL
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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