Organization
DR LIGHTHOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN TAUBE DO (CEO)
(248) 410-3127
Entity
Organization
Contact information
Practice address
4111 NE 23RD TER, LIGHTHOUSE POINT, FL 33064-8013
(954) 860-7997
Mailing address
2436 N FEDERAL HWY # 158, LIGHTHOUSE POINT, FL 33064-6854
(954) 860-7997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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