Provider Demographics
NPI:1336516798
Name:ADDICTION RECOVERY MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:ADDICTION RECOVERY MEDICAL SERVICES LLC
Other - Org Name:ARMS OF FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MAX
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:CITRIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:5613-032-2912
Mailing Address - Street 1:222 YAMATO RD
Mailing Address - Street 2:SUITE 106-225
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4704
Mailing Address - Country:US
Mailing Address - Phone:561-303-2912
Mailing Address - Fax:561-303-2951
Practice Address - Street 1:230 SE 23RD AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7620
Practice Address - Country:US
Practice Address - Phone:561-303-2912
Practice Address - Fax:561-303-2951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12975207RA0401X
FL5001261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAV3OtherBCBS
FL50=========01OtherDCF ADDICTION RECOVERY