Organization
MILLENNIUM RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA IACULLO (DIRECTOR OF BILLING)
(954) 461-7435
Entity
Organization
Contact information
Practice address
115 SW 11TH AVE, DELRAY BEACH, FL 33444-1527
(954) 461-7435
Mailing address
115 SW 11TH AVE, DELRAY BEACH, FL 33444-1527
(954) 461-7435
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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