| Lotus12 Inc | |
|
137 Nw 1st Ave Delray Beach FL 33444-2611 | |
| (561) 455-2612 | |
| Not Available |
| Full Name | Lotus12 Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 137 Nw 1st Ave, Delray Beach, Florida |
| Authorized Official Name and Position | Arthur Charles Rosenblatt (OWNER) |
| Authorized Official Contact | 5618095347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus12 Inc 137 Nw 1st Ave Delray Beach FL 33444-2611 Ph: (561) 455-2612 | Lotus12 Inc 137 Nw 1st Ave Delray Beach FL 33444-2611 Ph: (561) 455-2612 |
| NPI Number | 1326299579 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326299579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | ME49592 (Florida) | Primary |
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