Provider Demographics
NPI:1437691029
Name:RECOVERY MEDICINE GROUP LLC
Entity Type:Organization
Organization Name:RECOVERY MEDICINE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUFLEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-815-6898
Mailing Address - Street 1:6040 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-4287
Mailing Address - Country:US
Mailing Address - Phone:561-357-7823
Mailing Address - Fax:561-357-7822
Practice Address - Street 1:6040 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-4287
Practice Address - Country:US
Practice Address - Phone:561-357-7823
Practice Address - Fax:561-357-7822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty