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Organization

TRADITIONAL PHYSICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN DONALD DALACK II A.P. (OWNER)
(561) 427-7620
Entity
Organization

Contact information

Practice address
126 CENTER ST, UNIT B7, JUPITER, FL 33458-4373
(561) 427-7620
Mailing address
225 GOLFVIEW DR, TEQUESTA, FL 33469-1922
(561) 427-7620

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
AP3620
FL

Other

Enumeration date
02/10/2016
Last updated
02/10/2016
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