Organization
SHORELINE MEDICAL ADDICTION TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN CHARLES VIEL MD (MANAGING PARTNER)
(850) 339-6808
Entity
Organization
Contact information
Practice address
602 W INDIAN RIVER BLVD STE 2, EDGEWATER, FL 32132-3500
(386) 868-2619
Mailing address
107 EAST CIR, NEW SMYRNA BEACH, FL 32169-5213
(850) 339-6808
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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