IRECOVERY LLC NPI 1013580398

NPI Information

NPI: 1013580398
Provider Name: IRECOVERY, LLC

Doing Business As: IRECOVERYUSA

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
12557 NEW BRITTANY BLVD STE 3V-52
FORT MYERS, FL
ZIP 33907
Phone: (239) 299-0322
Get Directions

IRECOVERY, LLC is an addiction medicine family medicine in Fort Myers, FL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. IRECOVERY, LLC NPI is 1013580398. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Irecoveryusa.

The provider's business location address is:

12557 NEW BRITTANY BLVD STE 3V-52
FORT MYERS, FL
ZIP 33907-651
Phone: (239) 299-0322
Fax: (561) 464-5501

The provider's authorized official is Mildred Cintron .
The authorized official title is Credentialing Specialist and has the following contact phone number (561) 235-7683.

The enumeration date for this NPI number is 7/23/2021 and was last updated on 2/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083A0300X	Preventive Medicine	Addiction Medicine			No
2	207QA0401X	Family Medicine	Addiction Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	107100604	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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