IRECOVERY LLC NPI 1093462475

NPI Information

  • NPI: 1093462475
  • Provider Name: IRECOVERY, LLC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Doing Business As: IRECOVERYUSA
  • Address: 801 INTERNATIONAL PKWY STE 500
    LAKE MARY, FL
    ZIP 32746
  • Phone: (321) 204-0803

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NPI Details

IRECOVERY, LLC is an addiction medicine family medicine in Lake Mary, FL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. IRECOVERY, LLC NPI is 1093462475. 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:

801 INTERNATIONAL PKWY STE 500
LAKE MARY, FL
ZIP 32746-763
Phone: (321) 204-0803
Fax: (561) 464-5501

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

The enumeration date for this NPI number is 3/7/2022 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
1101YM0800XCounselorMental HealthNo
2103T00000XPsychologistNo
31041C0700XSocial WorkerClinicalNo
42083A0300XPreventive MedicineAddiction MedicineNo
5363A00000XPhysician AssistantNo
6207QA0401XFamily MedicineAddiction MedicineYes

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: 11/21/2025

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