MEDICARE: AISOL

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
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1316319189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AISOL

Provider Business Mailing Address
First Line	:	4875 PARK RIDGE BLVD STE 103
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-8345
Country	:	US
Telephone Number	:	561-353-6737
Fax Number	:

Provider Business Practice Location Address
First Line	:	4875 PARK RIDGE BLVD STE 103
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-8345
Country	:	US
Telephone Number	:	561-353-6737
Fax Number	:

Authorized Official
Title or Position	:	MBR
Name	:	CASEY LIDLOW
Credential	:
Telephone Number	:	561-413-5755

Provider Enumeration Date	:	10/20/2015
Last Update Date	:	01/24/2019

Similar Medicare Providers

1568872356 — AISOL, LLC
Practice Location Address:

4875 PARK RIDGE BLVD STE 103
BOYNTON BEACH, FL
33426-8345

Practice Phone: 561-413-5755
Practice Fax:

1447613518 — AISOL, LLC
Practice Location Address:

4875 PARK RIDGE BLVD STE 103
BOYNTON BEACH, FL
33426-8345

Practice Phone: 561-413-5755
Practice Fax:

1043992605 — BRIAN HOFFMAN LMHC
Practice Location Address:

4875 PARK RIDGE BLVD
BOYNTON BEACH, FL
33426-8345

Practice Phone: 561-517-2699
Practice Fax:

1386721579 — DR. MOHAMED G MOHAMED MD
Practice Location Address:

1914 STATE ROAD 44
NEW SMYRNA BEACH, FL
32168-8345

Practice Phone: 386-428-3241
Practice Fax: 844-295-1379

1952439259 — MRS. JAMIE LYNN ANDERSON PTA
Practice Location Address:

1912 STATE ROAD 44
NEW SMYRNA BEACH, FL
32168-8345

Practice Phone: 386-423-1070
Practice Fax: 386-423-0780

1518125392 — MR. CHARLES MAURICE STEINMANN
Practice Location Address:

1912 STATE ROAD 44
NEW SMYRNA BEACH, FL
32168-8345

Practice Phone: 386-423-1070
Practice Fax: 386-423-0780

Directions to “AISOL ” Practice Location

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