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Contact Information

SUMMIT DETOX
3330 S. FEDERAL HIGHWAY
3RD FLOOR
BOYNTON BEACH, FL33435
 Phone: 561-501-5260
 Fax: 561-501-5263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for SUMMIT DETOX

NPI # 1104391648
LBN Legal business name SUMMIT DETOX
Authorized official JORDAN LAVTIERI - (HEALTHCARE ADMINISTRATOR MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2018
Last updated 10/11/2018 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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