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Organization

GARDEN LIFE WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAMIR KUKEC MA (CEO)
(561) 420-7244
Entity
Organization

Contact information

Practice address
401 N ROSEMARY AVE, WEST PALM BEACH, FL 33401
(561) 420-7244
Mailing address
401 N ROSEMARY AVE, WEST PALM BEACH, FL 33401-4133
(561) 420-7244

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary

Other

Enumeration date
09/19/2017
Last updated
07/21/2022
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