Organization
FLORIDA DETOX GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA DICIURCIO (CEO)
(267) 670-3084
Entity
Organization
Contact information
Practice address
471 GREYNOLDS CIR, LANTANA, FL 33462-4565
(561) 530-4652
(561) 423-9223
Mailing address
PO BOX 1199, DEERFIELD BEACH, FL 33443-1199
(561) 530-4652
(561) 423-9223
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
FL
Other
Enumeration date
04/27/2017
Last updated
07/24/2017
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