Provider Demographics
NPI:1801508437
Name:FLORIDA TREATMENT SERVICES
Entity type:Organization
Organization Name:FLORIDA TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:COPLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-284-8618
Mailing Address - Street 1:13553 STATE ROUTE 54
Mailing Address - Street 2:STE 309
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556
Mailing Address - Country:US
Mailing Address - Phone:727-284-8618
Mailing Address - Fax:
Practice Address - Street 1:5713 HIGHWAY 85 N
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-9008
Practice Address - Country:US
Practice Address - Phone:850-801-1379
Practice Address - Fax:833-411-1264
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA TREATMENT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone