Provider Demographics
NPI:1043751050
Name:FAMILY HEALTHCARE OF DELRAY, INC
Entity Type:Organization
Organization Name:FAMILY HEALTHCARE OF DELRAY, INC
Other - Org Name:RECOVERY HEALTH SERVICE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-634-4425
Mailing Address - Street 1:7100 S MILITARY TRL
Mailing Address - Street 2:SUITE 7126
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7812
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7100 S MILITARY TRL
Practice Address - Street 2:SUITE 7126
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-7812
Practice Address - Country:US
Practice Address - Phone:954-634-4425
Practice Address - Fax:954-370-6447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5001261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder