Provider Demographics
NPI:1811156854
Name:DELRAY ADVANCED MEDICAL TREATMENTINC
Entity type:Organization
Organization Name:DELRAY ADVANCED MEDICAL TREATMENTINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:CADET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-330-6646
Mailing Address - Street 1:1836 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3311
Mailing Address - Country:US
Mailing Address - Phone:561-330-6646
Mailing Address - Fax:561-330-6642
Practice Address - Street 1:1836 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3311
Practice Address - Country:US
Practice Address - Phone:561-330-6646
Practice Address - Fax:561-330-6642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty