National Provider Identifier Database

IRECOVERY LLC
Addiction Medicine


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
* Addiction Medicine 207QA0401X
Addiction Medicine 2083A0300X

* Indicates primary specialty

NPI Profile & details for IRECOVERY, LLC

NPI Number 1013580398
Legal business name
LBN
IRECOVERY, LLC
Authorized official MILDRED CINTRON - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart Yes
Enumeration date 07/23/2021
Last updated 02/24/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 107100604

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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