Organization
FLORIDA HOUSE EXPERIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TITUS SIMEUL TUCKER ED.D. (CLINICAL THERAPIST)
(954) 559-6093
Entity
Organization
Contact information
Practice address
505 S FEDERAL HWY, DEERFIELD BEACH, FL 33441-4109
(954) 559-6093
Mailing address
505 S FEDERAL HWY, DEERFIELD BEACH, FL 33441-4109
(954) 559-6093
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
ISW8493
FL
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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