Provider Demographics
NPI:1477033173
Name:FLORIDA CENTER FOR RECOVERY INC.
Entity Type:Organization
Organization Name:FLORIDA CENTER FOR RECOVERY INC.
Other - Org Name:FLORIDA CENTER FOR RECOVERY INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-460-2777
Mailing Address - Street 1:3463 W. MIDWAY RD.
Mailing Address - Street 2:
Mailing Address - City:FT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34981
Mailing Address - Country:US
Mailing Address - Phone:772-460-2777
Mailing Address - Fax:
Practice Address - Street 1:3463 W. MIDWAY RD.
Practice Address - Street 2:
Practice Address - City:FT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34981
Practice Address - Country:US
Practice Address - Phone:772-460-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder