TRADITIONAL PHYSICIANS LLC (NPI# 1922466572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922466572 |
| Entity Type | Organization |
| Organization Name | TRADITIONAL PHYSICIANS LLC |
| Practice Address |
126 Center St Unit B7 Jupiter FL 33458-4373 |
| Mailing Address |
225 Golfview Dr Tequesta FL 33469-1922 |
| Practice Telephone | 5614277620 |
| Mailing Telephone | 5614277620 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | MR. JOHN DONALD DALACK II (OWNER) |
| Authorized Official Telephone | 5614277620 |
| Authorized Official Credential | A.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | AP3620 | FL | Residential Treatment Facilities |
| Street Address |
126 CENTER ST UNIT B7 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851346605 | Jose Stable | Internal Medicine | 126 Center St, Suite B3, Jupiter, FL 33458-4373 | 2006-05-23 |
| 1851751945 | John Donald Dalack II | Substance Abuse Rehabilitation Facility | 126 Center St, Suite B7, Jupiter, FL 33458-4373 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568921591 | Villa Tranquil, LLC | Substance Abuse Rehabilitation Facility | 6650 W Indiantown Rd Ste 25, Jupiter, FL 33458-4628 | 2019-03-19 |
| 1700219078 | Healthy Living Detox, LLC | Substance Abuse Rehabilitation Facility | 250 Thelma Avenue, Jupiter, FL 33458 | 2013-08-09 |
| 1568605137 | L.i.l.a.c. of Jupiter/palm Beach, LLC | Substance Abuse Rehabilitation Facility | 1630 N Us Highway 1 Suite 1, Suite One, Jupiter, FL 33469-3208 | 2009-04-13 |
| 1063042117 | Prestige Detox | Substance Abuse Rehabilitation Facility | 250 Thelma Ave, Jupiter, FL 33458-8091 | 2020-01-16 |
| 1326596131 | National Treatment Advisors, LLC | Substance Abuse Rehabilitation Facility | 875 Military Trl Ste 200, Jupiter, FL 33458-5700 | 2016-09-21 |
| 1851751945 | John Donald Dalack II | Substance Abuse Rehabilitation Facility | 126 Center St, Suite B7, Jupiter, FL 33458-4373 | 2016-03-02 |
| 1700266723 | Hope's Gate | Substance Abuse Rehabilitation Facility | 175 Toney Penna Dr, Suite 201, Jupiter, FL 33458-5755 | 2015-06-04 |
| 1073914917 | Jupiter Medical Center Pavilion, Inc. | Substance Abuse Rehabilitation Facility | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.