| Justice For Life Institute | |
|
4330 West Broward Boulevard Suite R Plantation FL 33317-3754 | |
| (954) 797-1617 | |
| (954) 797-1618 |
| Full Name | Justice For Life Institute |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4330 West Broward Boulevard, Plantation, Florida |
| Authorized Official Name and Position | Guy Anthony Wheeler (CEO/PRESIDENT) |
| Authorized Official Contact | 9547971617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justice For Life Institute 4330 West Broward Boulevard Suite R Plantation FL 33317-3754 Ph: (954) 797-1617 | Justice For Life Institute 4330 West Broward Boulevard Suite R Plantation FL 33317-3754 Ph: (954) 797-1617 |
| NPI Number | 1821303801 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 08/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821303801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1706AD780101 (Florida) | Primary |
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