NPI 1033558796
Destiny By the Sea
Practice location
- Address
- 130 SE 14th Ave, Boynton Beach, FL 33435-6030
- Phone
- (561) 350-3888
Authorised official
- Name
- Angela Iacullo
- Title
- Billing Director
- Phone
- (561) 715-9288
Registered specialties (2)
Clinical Medical Laboratory
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1033558796
- Entity type
- Organization
- NPI issued
- 17 Jun 2013
- Record last updated
- 17 Jun 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.