Destiny by the Sea

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DESTINY BY THE SEA

Practice address

130 SE 14TH Ave
Boynton Beach, FL 33435-6030

Phone

(561) 350-3888

NPI assigned

Jun 17, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Iacullo

Title

Billing Director

Phone

(561) 715-9288

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1033558796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SE 14TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SE 14TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356030",
            "telephone_number": "561-350-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY BY THE SEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "IACULLO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "561-715-9288"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darshanaben Nikhildev Desai
• Maudeline Desfontaine
• Sephora Desir
• Desiree Garzon, DPM, PA
• Marie Helene Desnoyers, MD
• Aaron B Deutsch, MD
• Elana Rachel Deutsch, M.D.
• Deval D Joshi MD PLLC
• Developmental Intervention Specialists
• Developmental Intervention Specialists Inc

• Clinical Medical Laboratory in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.