WSOP SERVICES LLC NPI 1750859732

NPI Information

NPI: 1750859732
Provider Name: WSOP SERVICES, LLC

Doing Business As: WHITESANDS OF FORT MYERS OUTPATIENT TREATMENT

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
1870 COLONIAL BLVD
FORT MYERS, FL
ZIP 33907
Phone: (786) 373-8899
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WSOP SERVICES, LLC is an emergency care clinic center in Fort Myers, FL. WSOP SERVICES, LLC NPI is 1750859732. The provider is registered as an organization entity type.
The provider Is Doing Business As Whitesands Of Fort Myers Outpatient Treatment.

The provider's business location address is:

1870 COLONIAL BLVD
FORT MYERS, FL
ZIP 33907-301
Phone: (786) 373-8899
Fax: (954) 531-1827

The provider's authorized official is David L Hatton .
The authorized official title is General Counsel / Manager and has the following contact phone number (786) 373-8899.

The CLIA number assigned to this NPI record is 10D2229199 - other - substance abuse tx facili with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2018 and was last updated on 10/26/2023.

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	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	261QE0002X	Clinic/Center	Emergency Care	Yes

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

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