FLORIDA DETOX AND RECOVERY CENTER LLC NPI 1861811655

NPI Information

NPI: 1861811655
Provider Name: FLORIDA DETOX AND RECOVERY CENTER, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
6804 PORTO FINO CIR
SUITE 1
FORT MYERS, FL
ZIP 33912
Phone: (239) 332-4700
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FLORIDA DETOX AND RECOVERY CENTER, LLC is a rehabilitation and substance use disorder clinic center in Fort Myers, FL. FLORIDA DETOX AND RECOVERY CENTER, LLC NPI is 1861811655. The provider is registered as an organization entity type.

The provider's business location address is:

6804 PORTO FINO CIR
SUITE 1
FORT MYERS, FL
ZIP 33912-139
Phone: (239) 332-4700

The provider's authorized official is Georgeanne Romeo .
The authorized official title is Executive Director and has the following contact phone number (239) 877-2304.

The enumeration date for this NPI number is 4/9/2014 and was last updated on 4/9/2014.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	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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