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A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine |
| NPI Number | 1801734249 |
| LBN Legal business name | PANAGIA MEDICAL RECOVERY CLINIC PLLC |
| Authorized official | MIRA GRACE - (MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/24/2026 |
| Last updated | 05/05/2026 - About a month ago |
| Identifiers | n/a |
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PANAGIA MEDICAL RECOVERY CLINIC PLLC