Healthcare Provider Details

I. General information

NPI: 1962954156
Provider Name (Legal Business Name): ACADEMY HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 10TH ST SUITE 501, 503, 507
LAKE PARK FL
33403-3187
US

IV. Provider business mailing address

1650 S DIXIE HWY #203
BOCA RATON FL
33432-7462
US

V. Phone/Fax

Practice location:
  • Phone: 305-725-8447
  • Fax:
Mailing address:
  • Phone: 305-725-8447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number5001
License Number StateFL

VIII. Authorized Official

Name: MIMI BIEDA
Title or Position: OWNER
Credential:
Phone: 561-910-4954