| Metavida LLC | |
|
701 Old Dixie Hwy Tequesta FL 33469-2493 | |
| (561) 523-8887 | |
| Not Available |
| Full Name | Metavida LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 701 Old Dixie Hwy, Tequesta, Florida |
| Authorized Official Name and Position | Tammy Malloy (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5613769790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metavida LLC 701 Old Dixie Hwy Tequesta FL 33469-2493 Ph: (561) 523-8887 | Metavida LLC 701 Old Dixie Hwy Tequesta FL 33469-2493 Ph: (561) 523-8887 |
| NPI Number | 1982450540 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982450540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Secondary |
| 101YM0800X | Counselor - Mental Health | () | Secondary |
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