Healthcare Provider Details

I. General information

NPI: 1376014803
Provider Name (Legal Business Name): PRECISION HEALTH BY SCIENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 04/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4443 LYONS RD STE 211
COCONUT CREEK FL
33073-4388
US

IV. Provider business mailing address

7611 MARBLEHEAD LN
PARKLAND FL
33067-2336
US

V. Phone/Fax

Practice location:
  • Phone: 549-405-0501
  • Fax: 954-301-8501
Mailing address:
  • Phone: 301-802-7731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CYNTHIA J RILLING
Title or Position: COO
Credential:
Phone: 301-802-7731