Organization · Type 2 NPI
Summit Detox
Addiction Medicine (Psychiatry & Neurology) Physician · Boynton Beach, FL
Practice location
3330 S. Federal Highway, 3rd Floor
Boynton Beach, FL 33435
Fax (561) 501-5263
Mailing address
PO Box 732138
Dallas, TX 75373-2138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
About NPI 1104391648
Summit Detox's National Provider Identifier is 1104391648, issued on Oct 11, 2018. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Boynton Beach, FL. The record was last updated on Feb 25, 2022.