FOOTPRINTS BEACHSIDE RECOVERY NPI 1568758969

NPI Information

  • NPI: 1568758969
  • Provider Name: FOOTPRINTS BEACHSIDE RECOVERY
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 151 107TH AVE
    #13
    TREASURE ISLAND, FL
    ZIP 33706
  • Phone: (727) 954-3908

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NPI Details

FOOTPRINTS BEACHSIDE RECOVERY is a rehabilitation and substance use disorder clinic center in Treasure Island, FL. FOOTPRINTS BEACHSIDE RECOVERY NPI is 1568758969. The provider is registered as an organization entity type.

The provider's business location address is:

151 107TH AVE
#13
TREASURE ISLAND, FL
ZIP 33706-734
Phone: (727) 954-3908

The provider's authorized official is John Robert Templeton .
The authorized official title is Ceo and has the following contact phone number (727) 954-3908.

The enumeration date for this NPI number is 6/23/2011 and was last updated on 10/20/2014.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder0652AD547004FLORIDAYes

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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