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ALLURE DETOX LLC
Organization Subpart: NO
NPI: 1275078560
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Last Updated: | 2021-08-03 | ||
| Certification Date: | 2021-08-03 |
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275078560 | ||||||||
| Enumeration Date | 2016-12-22 | ||||||||
| NPI Type | 2- Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information |
Name: MR.
JESSE
REUTER
Title: OWNER Phone: 561-818-9901 |
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| Mailing Address |
455 NE 5TH AVE STE D306
DELRAY BEACH, FL 33483-5658 United States Phone: 561-405-9062 | Fax: View Map 
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| Primary Practice Address |
900 54TH ST
WEST PALM BEACH, FL 33407-2436 United States Phone: 561-818-9901 | Fax: View Map
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| Secondary Practice Address |
7700 WEST CAMINO REAL
404
BOCA RATON, FL 33433-5543 United States Phone: 561-818-9901 | Fax: View Map
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