Provider Demographics
NPI:1053727107
Name:NEW LEAF FLORIDA LLC
Entity type:Organization
Organization Name:NEW LEAF FLORIDA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AREL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISTER-ALDAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-710-4300
Mailing Address - Street 1:4828 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3456
Mailing Address - Country:US
Mailing Address - Phone:908-400-8606
Mailing Address - Fax:
Practice Address - Street 1:4828 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3456
Practice Address - Country:US
Practice Address - Phone:908-400-8606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder