Organization
DOMUS LEONUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARPANA SHIVDASANI P.A (OWNER)
(917) 528-0694
Entity
Organization
Contact information
Practice address
1551 FORUM PLACE, BUILDING 400 SUITE D/E, WEST PALM BEACH, FL 33401-5505
(917) 528-0694
Mailing address
1551 FORUM PLACE, BUILDING 400 SUITE D/E, WEST PALM BEACH, FL 33401-5505
(917) 528-0694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ME49592
FL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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