Doctor Name: | MR. DAVID M. SLOAN |
NPI Number: | 1053626804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | IMH7474 |
Business Practice Address: | 11900 Se Federal Hwy Suite 212 Hobe Sound, FL - 334555320 |
Business Phone Number: | 7725463455 |
Business Fax Number: | 7725463597 |
Mailing Address: | 11900 Se Federal Hwy, Suite 212 HOBE SOUND |
State: | FL |
Postal Code: | 334555320 |
Phone Number: | 7725463455 |
Fax Number: | 7725463597 |
NPI Enumeration Date: | 08/17/2010 |
NPI Last Update Date: | 08/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | IMH7474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |