Provider Demographics
NPI:1629743687
Name:COMPREHENSIVE ADDICTION AND RECOVERY EPICENTER MANAGEMENT
Entity Type:Organization
Organization Name:COMPREHENSIVE ADDICTION AND RECOVERY EPICENTER MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-965-1245
Mailing Address - Street 1:3632 LAND O LAKES BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-4407
Mailing Address - Country:US
Mailing Address - Phone:813-606-5668
Mailing Address - Fax:813-729-8669
Practice Address - Street 1:3632 LAND O LAKES BLVD STE 101
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-4407
Practice Address - Country:US
Practice Address - Phone:813-606-5668
Practice Address - Fax:813-729-8669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Multi-Specialty