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TEMPLAR RISING LLC NPI 1619405693


NPI Information

NPI: 1619405693
Provider Name: TEMPLAR RISING LLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
275 COMMERCIAL BLVD.
SUITE #200
LAUDERDALE BY THE SEA, FL
ZIP 33308
Phone: (954) 909-0540
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TEMPLAR RISING LLC is an addiction medicine psychiatry neurology in Lauderdale By The Sea, FL. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine TEMPLAR RISING LLC NPI is 1619405693. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

275 COMMERCIAL BLVD.
SUITE #200
LAUDERDALE BY THE SEA, FL
ZIP 33308
Phone: (954) 909-0540
Fax: (954) 368-7405

The provider's authorized official is Hotse Bart Langeraar .
The authorized official title is Ceo and has the following contact phone number (954) 909-0540.

The enumeration date for this NPI number is 6/2/2017 and was last updated on 6/25/2019.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
22084A0401XPsychiatry & NeurologyAddiction MedicineYes

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: 5/5/2024

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