Organization
TEMPLAR RISING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOTSE BART LANGERAAR (CEO)
(954) 909-0540
Entity
Organization
Contact information
Practice address
275 COMMERCIAL BLVD., SUITE #200, LAUDERDALE BY THE SEA, FL 33308
(954) 909-0540
(954) 368-7405
Mailing address
275 COMMERCIAL BLVD., SUITE #200, LAUDERDALE BY THE SEA, FL 33308
(954) 909-0540
(954) 368-7405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
06/25/2019
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