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Contact Information

IRECOVERY, LLC
360 CENTRAL AVE
SAINT PETERSBURG, FL33701-3857
 Phone: 727-273-7097
 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
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for IRECOVERY, LLC

NPI Number 1306564257
LBN Legal business name IRECOVERY, LLC
Authorized official MILDRED CINTRON - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2022
Last updated 02/24/2023 - About 3 years ago
Identifiers n/a
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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