Organization
SOUTH FLORIDA RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA IACULLO (DIRECTOR)
(561) 270-2361
Entity
Organization
Contact information
Practice address
4010 S 57TH AVE STE 103, GREENACRES, FL 33463-4301
(561) 275-2001
Mailing address
4010 S 57TH AVE STE 103, GREENACRES, FL 33463-4301
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D2060593
FL
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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