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NPI Code Detail

MEDICARE: POSITIVE PATH OF DEERFIELD BEACH

MEDICARE: POSITIVE PATH OF DEERFIELD BEACH
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1730561358
Entity Type Code : Organization
Provider Name (Legal Business Name) : POSITIVE PATH OF DEERFIELD BEACH
Provider Business Mailing Address
First Line : 1400 EAST HILLSBORO BLVD
Second Line : 2ND FLOOR
City : DEERFIELD BEACH
State : FL
Zip : 33441
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 EAST HILLSBORO BLVD
Second Line : 2ND FLOOR
City : DEERFIELD BEACH
State : FL
Zip : 33441
Country : US
Telephone Number : 561-715-3260
Fax Number :
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : JORDAN NEEDELL
Credential :
Telephone Number : 561-715-3260
Provider Enumeration Date : 06/19/2015
Last Update Date : 06/19/2015

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Directions to “POSITIVE PATH OF DEERFIELD BEACH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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