MEDICARE: BETTER ME CENTER LLC

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	1550AD652001	FL
2	291U00000X	Clinical Medical Laboratory	10D2090158	FL

General Provider Information

NPI Number	:	1366828659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER ME CENTER LLC

Provider Business Mailing Address
First Line	:	4611 OKEECHOBEE BLVD
Second Line	:	SUITE 110
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4637
Country	:	US
Telephone Number	:	561-412-1553
Fax Number	:	888-512-1128

Provider Business Practice Location Address
First Line	:	4611 OKEECHOBEE BLVD
Second Line	:	SUITE 110
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4637
Country	:	US
Telephone Number	:	561-412-1553
Fax Number	:	888-512-1128

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MIGUELA NURSE
Credential	:
Telephone Number	:	561-412-1553

Provider Enumeration Date	:	08/10/2015
Last Update Date	:	04/19/2016

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Directions to “BETTER ME CENTER LLC ” Practice Location

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