The Shores | |
1405 Se Goldtree Dr Suite A Port Saint Lucie FL 34952-7563 | |
(772) 800-3990 | |
Not Available |
Full Name | The Shores |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 1405 Se Goldtree Dr, Port Saint Lucie, Florida |
Authorized Official Name and Position | Lyle Ryant Fried (PRESIDENT & CEO) |
Authorized Official Contact | 7728003990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Shores 1405 Se Goldtree Dr Suite A Port Saint Lucie FL 34952-7563 Ph: (772) 800-3990 | The Shores 1405 Se Goldtree Dr Suite A Port Saint Lucie FL 34952-7563 Ph: (772) 800-3990 |
NPI Number | 1588098495 |
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Provider Enumeration Date | 08/27/2013 |
Last Update Date | 02/24/2016 |
Identifier | Type | State | Issuer |
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1588098495 | NPI | - | NPPES |
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