PATHWAY 2 RECOVERY GOLD COAST (NPI# 1710391966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710391966 |
| Entity Type | Organization |
| Organization Name | PATHWAY 2 RECOVERY GOLD COAST |
| Other Organization Name | KOSHER SOBERIETY |
| Practice Address |
23116a Sandal Foot Plaza Drive Boca Raton FL 33428 |
| Practice Telephone | 9546780078 |
| Practice Fax Number | 9546343912 |
| Mailing Telephone | 9546780078 |
| Mailing Fax Number | 9546343912 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | ZARINA DELMARR (BILLING MANAGER) |
| Authorized Official Telephone | 9546780078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kosher Soberiety | Doing Business As Name - Organization |
| Street Address |
23116A SANDAL FOOT PLAZA DRIVE |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639577950 | Pathway 2 Recovery Gold Coast, LLC | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428-6500 | 2014-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| 1114361235 | Dermpartners Inc | Dermatology | 21020 State Rd 7, Suite 120, Boca Raton, FL 33428 | 2013-04-19 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1447603741 | Sober Investments LLC | Clinic/Center | 21301 Powerline Rd, #311, Boca Raton, FL 33433-2388 | 2016-07-21 |
| 1437524923 | Treatment Partners of America Inc. | Clinic/Center | 6909 Sw 18th St, A203, Boca Raton, FL 33433-7078 | 2015-12-09 |
| 1639577950 | Pathway 2 Recovery Gold Coast, LLC | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428-6500 | 2014-12-18 |
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| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| 1346709151 | Boynton Wellness Center, LLC | Clinic/Center | 200 Knuth Rd Ste 140, Boynton Beach, FL 33436-4640 | 2019-03-19 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
Please comment or provide details below to improve the information on PATHWAY 2 RECOVERY GOLD COAST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.