THE FOURMULA CENTER LLC NPI 1548621030

NPI Information

NPI: 1548621030
Provider Name: THE FOURMULA CENTER, LLC

Doing Business As: THE FOURMULA

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

Specialization: Rehabilitation, Substance Use Disorder

Address:
5499 N FEDERAL HWY
BOCA RATON, FL
ZIP 33487
Phone: (561) 617-1925
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THE FOURMULA CENTER, LLC is a rehabilitation and substance use disorder clinic center in Boca Raton, FL. THE FOURMULA CENTER, LLC NPI is 1548621030. The provider is registered as an organization entity type.
The provider Is Doing Business As The Fourmula.

The provider's business location address is:

5499 N FEDERAL HWY
BOCA RATON, FL
ZIP 33487-993
Phone: (561) 617-1925
Fax: (561) 617-1928

The provider's authorized official is Robin Leigh Guterman-perry .
The authorized official title is Owner/manager and has the following contact phone number (561) 617-1925.

The enumeration date for this NPI number is 3/11/2016 and was last updated on 8/18/2017.

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	261QM0850X	Clinic/Center	Adult Mental Health	SW10458	FLORIDA	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	SW10458	FLORIDA	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	SW10458	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

NPI Synchronization or Removal

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