Organization
AGE DEFYING EXPERTS SOUTH FLORIDA LLC
Active
Organization
AGE DEFYING EXPERTS SOUTH FLORIDA LLC
Active
Other names
Age Defying Experts South Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA CHETAN APRN (NURSE PRACTITIONER)
(786) 505-4423
Entity
Organization
Contact information
Practice address
5379 LYONS RD # 1599, COCONUT CREEK, FL 33073-2810
(786) 505-4423
Mailing address
5379 LYONS RD, COCONUT CREEK, FL 33073-2810
(786) 505-4423
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
10/31/2024
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