| Dream Source Group, Llc | |
|
1421 Orchard Lake Dr Unit D Charlotte NC 28270-1475 | |
| (561) 704-6781 | |
| Not Available |
| Full Name | Dream Source Group, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1421 Orchard Lake Dr Unit D, Charlotte, North Carolina |
| Authorized Official Name and Position | Troy Garr (MBR) |
| Authorized Official Contact | 2155708300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Source Group, Llc 7601 N Federal Hwy Ste 245a Boca Raton FL 33487-1672 Ph: () - | Dream Source Group, Llc 1421 Orchard Lake Dr Unit D Charlotte NC 28270-1475 Ph: (561) 704-6781 |
| NPI Number | 1679329494 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679329494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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