FLORIDA DETOX GROUP, LLC (NPI# 1720513724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720513724 |
Entity Type | Organization |
Organization Name | FLORIDA DETOX GROUP, LLC |
Practice Address |
471 Greynolds Cir Lantana FL 33462-4565 |
Mailing Address |
Po Box 1199 Deerfield Beach FL 33443-1199 |
Practice Telephone | 5615304652 |
Practice Fax Number | 5614239223 |
Mailing Telephone | 5615304652 |
Mailing Fax Number | 5614239223 |
Enumeration Date | 2017-04-27 |
Last Update Date | 2017-07-24 |
Authorized Official Name | SAMANTHA DICIURCIO (CEO) |
Authorized Official Telephone | 2676703084 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | FL | Residential Treatment Facilities |
Street Address |
471 GREYNOLDS CIR |
City | LANTANA |
State | FL |
Zip Code | 33462-4565 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
Find all providers in zip 33462 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649720905 | Comprehensive Wellness Centers, LLC | Substance Abuse Rehabilitation Facility | 650 S Dixie Hwy, Lantana, FL 33462-4607 | 2016-10-11 |
1598138877 | Comprehensive Wellness Centers LLC | Substance Abuse Rehabilitation Facility | 660 S Dixie Hwy, Lantana, FL 33462-4607 | 2015-11-09 |
1376190736 | Archstone Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 501 W Perry St, Lantana, FL 33462-4547 | 2019-08-21 |
1396277315 | Comprehensive Wellness Centers, LLC | Substance Abuse Rehabilitation Facility | 720 S Dixie Hwy, Lantana, FL 33462-4652 | 2017-03-29 |
1932557006 | Palm Beach Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 327 W Lantana Rd, Lantana, FL 33462-4353 | 2016-05-31 |
1356691331 | Millennium Health Services | Substance Abuse Rehabilitation Facility | 6252 S Congress Ave, Suite J1 & J2, Lantana, FL 33462-2352 | 2012-09-17 |
1427306612 | Archway Medical Center Inc. | Substance Abuse Rehabilitation Facility | 501 W Perry St, Lantana, FL 33462-4547 | 2012-08-21 |
1457658536 | Wellington Retreat, Inc. | Substance Abuse Rehabilitation Facility | 7051 Seacrest Blvd, Lantana, FL 33462-5139 | 2011-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
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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.