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NPI Code Detail

MEDICARE: DELRAY CENTER FOR INTEGRATIVE MEDICINE PA

MEDICARE: DELRAY CENTER FOR INTEGRATIVE MEDICINE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW9647FL
22084A0401XAddiction Medicine (Psychiatry & Neurology) PhysicianME78266FL

General Provider Information

NPI Number : 1548648397
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELRAY CENTER FOR INTEGRATIVE MEDICINE PA
Provider Business Mailing Address
First Line : 403 SE 1ST ST
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-4540
Country : US
Telephone Number : 561-332-1776
Fax Number : 561-266-0033
Provider Business Practice Location Address
First Line : 302 SE 2ND ST
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-4506
Country : US
Telephone Number : 561-332-1176
Fax Number : 561-266-0033
Authorized Official
Title or Position : PRESIDENT
Name : RAUL RODRIGUEZ
Credential : M.D.
Telephone Number : 561-266-8866
Provider Enumeration Date : 05/13/2015
Last Update Date : 03/12/2021

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Directions to “DELRAY CENTER FOR INTEGRATIVE MEDICINE PA ” Practice Location

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