NEW LEAF FLORIDA LLC NPI 1063861284

NPI Information

NPI: 1063861284
Provider Name: NEW LEAF FLORIDA LLC

Doing Business As: THE GARDENS AT LAKE WORTH

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4828 LAKE WORTH RD
GREENACRES, FL
ZIP 33463
Phone: (908) 400-8606
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NEW LEAF FLORIDA LLC is a rehabilitation and substance use disorder clinic center in Greenacres, FL. NEW LEAF FLORIDA LLC NPI is 1063861284. The provider is registered as an organization entity type.
The provider Is Doing Business As The Gardens At Lake Worth.

The provider's business location address is:

4828 LAKE WORTH RD
GREENACRES, FL
ZIP 33463-456
Phone: (908) 400-8606

The provider's authorized official is Nicola Rajaram .
The authorized official title is Billing Manager and has the following contact phone number (954) 272-6723.

The enumeration date for this NPI number is 6/8/2016 and was last updated on 6/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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