Provider Demographics
NPI:1164951372
Name:RECOVERY FIRST OF FLORIDA, LLC
Entity Type:Organization
Organization Name:RECOVERY FIRST OF FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-981-9228
Mailing Address - Street 1:200 POWELL PL
Mailing Address - Street 2:ATTN: LEGAL DEPARTMENT
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7514
Mailing Address - Country:US
Mailing Address - Phone:615-732-1605
Mailing Address - Fax:
Practice Address - Street 1:3100 E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:615-727-8416
Practice Address - Fax:615-457-8094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0604261QR0405X
324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
385865OtherJOINT COMMISSION
385865OtherJOINT COMMISSION