Suncoast Detox LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SUNCOAST DETOX LLC

Practice address

9935 Palomino Dr
Lake Worth, FL 33467-1014

Phone

(561) 301-9423

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Eva Dudek

Title

Ceo

Phone

(561) 301-9423

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1447795018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935 PALOMINO DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671014",
            "telephone_number": "561-301-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9935 PALOMINO DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671014",
            "telephone_number": "561-301-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "DUDEK",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-301-9423"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.