Provider Demographics
NPI:1952734238
Name:EMPATHIC PARTNERS IOP LLC
Entity Type:Organization
Organization Name:EMPATHIC PARTNERS IOP LLC
Other - Org Name:EMPATHIC RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIVIAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-318-5954
Mailing Address - Street 1:1408 N KILLIAN DRIVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403
Mailing Address - Country:US
Mailing Address - Phone:561-318-5954
Mailing Address - Fax:561-318-5981
Practice Address - Street 1:1408 N. KILLIAN DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403
Practice Address - Country:US
Practice Address - Phone:561-318-5954
Practice Address - Fax:561-318-5981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder