Provider Demographics
NPI:1568220077
Name:ADC SPECTRUM IN ORDER INC
Entity Type:Organization
Organization Name:ADC SPECTRUM IN ORDER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBAINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-212-2433
Mailing Address - Street 1:12955 BISCAYNE BLVD STE 328
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2022
Mailing Address - Country:US
Mailing Address - Phone:786-212-2433
Mailing Address - Fax:
Practice Address - Street 1:12955 BISCAYNE BLVD STE 328
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2022
Practice Address - Country:US
Practice Address - Phone:786-212-2433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty