Provider Demographics
NPI:1174864276
Name:RECOVERY KEYS, INC.
Entity Type:Organization
Organization Name:RECOVERY KEYS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRABILE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, ABPM-ADM, FASAM
Authorized Official - Phone:904-551-1394
Mailing Address - Street 1:6100 GREENLAND RD STE 201
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-2625
Mailing Address - Country:US
Mailing Address - Phone:904-551-1394
Mailing Address - Fax:888-770-4284
Practice Address - Street 1:1301 PLANTATION ISLAND DR S
Practice Address - Street 2:SUITE 201B
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-3108
Practice Address - Country:US
Practice Address - Phone:904-342-5965
Practice Address - Fax:888-770-4284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder