| Lantana Diagnostic Services Llc | |
|
806 Lantana Rd Lantana FL 33462-1509 | |
| (561) 588-8323 | |
| Not Available |
| Full Name | Lantana Diagnostic Services Llc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 806 Lantana Rd, Lantana, Florida |
| Authorized Official Name and Position | John P Offidani (MGRM) |
| Authorized Official Contact | 3054283093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lantana Diagnostic Services Llc 806 Lantana Rd Lantana FL 33462-1509 Ph: (561) 588-8323 | Lantana Diagnostic Services Llc 806 Lantana Rd Lantana FL 33462-1509 Ph: (561) 588-8323 |
| NPI Number | 1518346782 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518346782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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