Individualized Treatment Technology Laboratories LLC
Restricted
Individualized Treatment Technology Laboratories LLC is subject to Restricted. See the individual lists below.
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Address
1601 12TH AVE S
ID Details
ID NUMBER : 16-042PH
ID TYPE : Formal/Informal Case Number
ID NUMBER : 2016000210
ID TYPE : AHCA Case Number
ID NUMBER : 2016000788
ID TYPE : AHCA Case Number
ID NUMBER : 1043658966
ID TYPE : NPI
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Individualized Treatment Technology Laboratories LLC Sanctioned By Below Authorities
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Florida Agency for Health Care Administration | Jul 18, 2016 | active |
| The Illinois Department of Healthcare and Family Services | Dec 30, 2022 | active |
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