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Contact Information

IRECOVERY, LLC
130 S INDIAN RIVER DR STE 202-6405
FORT PIERCE, FL34950-4343
 Phone: 772-773-6989
 Fax: 561-464-5501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for IRECOVERY, LLC

NPI Number 1851964407
LBN Legal business name IRECOVERY, LLC
Authorized official MILDRED CINTRON - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/21/2021
Last updated 09/27/2021 - About 5 years ago
Identifiers
FL Medicaid 1107100606
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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