Provider Type Icon

CENTRAL FLORIDA DETOX LLC NPI 1073909560


NPI Information

NPI: 1073909560
Provider Name: CENTRAL FLORIDA DETOX, LLC

Doing Business As: ORLANDO RECOVERY CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2100636

Address:
6000 LAKE ELLENOR DR
ORLANDO, FL
ZIP 32809
Phone: (754) 300-3120
Get Directions

CENTRAL FLORIDA DETOX, LLC is a substance abuse rehabilitation facility in Orlando, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CENTRAL FLORIDA DETOX, LLC NPI is 1073909560. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Orlando Recovery Center.

The provider's business location address is:

6000 LAKE ELLENOR DR
ORLANDO, FL
ZIP 32809-615
Phone: (754) 300-3120
Fax: (888) 919-4431

The provider's authorized official is Belina Surujon .
The authorized official title is Licensing & Contracting Director and has the following contact phone number (754) 300-3120.

The CLIA number assigned to this NPI record is 10D2100636 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2015 and was last updated on 3/15/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3324500000XSubstance Abuse Rehabilitation FacilityYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.