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Contact Information

IRECOVERY, LLC
12557 NEW BRITTANY BLVD STE 3V-52
FORT MYERS, FL33907-3651
 Phone: 239-299-0322
 Fax: 561-464-5501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for IRECOVERY LLC · (Female)

NPI # 1013580398
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2021
Last updated 02/24/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 107100604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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