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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

NPI # 1013580398
LBN Legal business name IRECOVERY, LLC
Authorized official MILDRED CINTRON - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/23/2021
Last updated 02/24/2023 - About 3 years ago
Identifiers
FL Medicaid 107100604
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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