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NPI Code Detail

MEDICARE: VIBRO AT STIRLING LLC

MEDICARE: VIBRO AT STIRLING 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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1487041133
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIBRO AT STIRLING LLC
Provider Business Mailing Address
First Line : 2328 10TH AVE N FL 3
Second Line :
City : LAKE WORTH
State : FL
Zip : 33461-6606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1272 LONG HILL RD
Second Line :
City : STIRLING
State : NJ
Zip : 07980-1010
Country : US
Telephone Number : 908-504-2700
Fax Number :
Authorized Official
Title or Position : CEO
Name : JAMES STOKES
Credential :
Telephone Number : 561-318-4455
Provider Enumeration Date : 04/21/2015
Last Update Date : 04/21/2015

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