Provider Demographics
NPI:1114501509
Name:SOUTH FLORIDA MENTAL HEALTH & RECOVERY INC
Entity Type:Organization
Organization Name:SOUTH FLORIDA MENTAL HEALTH & RECOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-339-8824
Mailing Address - Street 1:27 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4225
Mailing Address - Country:US
Mailing Address - Phone:786-339-8824
Mailing Address - Fax:786-349-7132
Practice Address - Street 1:90130 OLD HWY
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2368
Practice Address - Country:US
Practice Address - Phone:786-339-8824
Practice Address - Fax:786-349-7132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health