L.I.L.a.C. of Jupiter/Palm Beach, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

L.I.L.A.C. OF JUPITER/PALM BEACH, LLC

Practice address

1630 N US Highway 1 Suite 1
Suite One
Jupiter, FL 33469-3208

Phone

(561) 575-6211

NPI assigned

Apr 13, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Sandra M Waldron

Title

Ceo

Phone

(772) 221-0190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1568605137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 N US HIGHWAY 1",
            "address_2": "SUITE ONE",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693208",
            "telephone_number": "561-575-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 N US HIGHWAY 1 SUITE 1",
            "address_2": "SUITE ONE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334693208",
            "telephone_number": "561-575-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I.L.A.C. OF JUPITER/PALM BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-221-0190",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Gonzalez Kurland, PT, DPT, CST-T
• Kurt O Bally DMD PA
• Casey Jean Kurz
• Kevin Michael Kustarz, D.C.
• Elyce F Kwasman, CNP
• Earl I La Kier, M.D.
• August John La Ruffa III, DC
• La Vie Est Belle Aesthetics and Wellness LLC
• Amy Lachance
• Ginette Ann Lafleur, APRN

• Substance Abuse Rehabilitation Facility in Jupiter, FL
• Providers in Jupiter, 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 May 13, 2009; 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.