ROAD TO RECOVERY WELLNESS CENTER LLC NPI 1235766619

NPI Information

NPI: 1235766619
Provider Name: ROAD TO RECOVERY WELLNESS CENTER, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 10D2096651

Address:
412 SE 6TH STREET
FORT LAUDERDALE, FL
ZIP 33301
Phone: (954) 543-2946
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ROAD TO RECOVERY WELLNESS CENTER, LLC is a rehabilitation and substance use disorder clinic center in Fort Lauderdale, FL. ROAD TO RECOVERY WELLNESS CENTER, LLC NPI is 1235766619. The provider is registered as an organization entity type.

The provider's business location address is:

412 SE 6TH STREET
FORT LAUDERDALE, FL
ZIP 33301
Phone: (954) 543-2946

The provider's authorized official is Joseph Pfeffer .
The authorized official title is Owner/coo and has the following contact phone number (813) 203-9683.

The CLIA number assigned to this NPI record is 10D2096651 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2020 and was last updated on 3/25/2020.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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: 11/14/2023

NPI Synchronization or Removal

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