Provider Demographics
NPI:1215765011
Name:EAZ THERAPEUTICS LLC
Entity type:Organization
Organization Name:EAZ THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:DINU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-886-0409
Mailing Address - Street 1:378 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE #137
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408
Mailing Address - Country:US
Mailing Address - Phone:978-886-0409
Mailing Address - Fax:
Practice Address - Street 1:378 NORTHLAKE BLVD
Practice Address - Street 2:SUITE #137
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408
Practice Address - Country:US
Practice Address - Phone:978-886-0409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty