DETOX OF SOUTH FLORIDA LLC NPI 1558768820

NPI Information

DETOX OF SOUTH FLORIDA, LLC is a substance abuse rehabilitation facility in Okeechobee, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. DETOX OF SOUTH FLORIDA, LLC NPI is 1558768820. The provider is registered as an organization entity type.
The provider Other Name Is Sunshine Diagnostics.

The provider's business location address is:

608 NE 2ND AVE
OKEECHOBEE, FL
ZIP 34972-622
Phone: (863) 763-0913
Fax: (863) 763-0914

The provider's authorized official is Sehar Ryan .
The authorized official title is Coo and has the following contact phone number (754) 368-1285.

The CLIA number assigned to this NPI record is 10D2089284 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2014 and was last updated on 2/22/2022.

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:

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