| New Season Treatment Center 12 | |
|
555 Sw 12th Ave Ste 100-101 Pompano Beach FL 33069-3500 | |
| (954) 782-9774 | |
| (954) 782-3843 |
| Full Name | New Season Treatment Center 12 |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 555 Sw 12th Ave Ste 100-101, Pompano Beach, Florida |
| Authorized Official Name and Position | Maria Jackson (CFO) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Season Treatment Center 12 2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 Ph: (407) 351-7080 | New Season Treatment Center 12 555 Sw 12th Ave Ste 100-101 Pompano Beach FL 33069-3500 Ph: (954) 782-9774 |
| NPI Number | 1780890327 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780890327 | NPI | - | NPPES |
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