RECREATE LIFE WELLNESS GROUP LLC


Address: 7570 S Federal Hwy Ste 7, Lantana, FL 33462-6060
Phone: 5618142055

RECREATE LIFE WELLNESS GROUP LLC (NPI# 1861902173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861902173
Entity Type Organization
Organization Name RECREATE LIFE WELLNESS GROUP LLC
Practice Address 7570 S Federal Hwy Ste 7
Lantana
FL 33462-6060
Mailing Address 455 Ne 5th Ave Ste D316
Delray Beach
FL 33483-5658
Practice Telephone 5618142055
Enumeration Date 2017-10-02
Last Update Date 2017-10-02
Authorized Official Name JESSE REUTER (MANAGER)
Authorized Official Telephone 5619146030
Authorized Official Credential CAP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
Allopathic & Osteopathic Physicians

Office Location

Street Address 7570 S FEDERAL HWY STE 7
City LANTANA
State FL
Zip Code 33462-6060

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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
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Taxonomy Information

Taxonomy Code 2084P0802X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Psychiatry

Taxonomy Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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1629540273 Aware Recovery Care of Florida LLC Psychiatry & Neurology 1625 S Congress Ave Ste 301, Delray Beach, FL 33445-6304 2018-12-20
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1962910570 Palm Beach Neuro and Wellness, LLC Psychiatry & Neurology 2623 S Seacrest Blvd Ste 114, Boynton Beach, FL 33435-7531 2018-01-17
1770090276 Allure Wellness Group LLC Psychiatry & Neurology 7700 W Camino Real Ste 404, Boca Raton, FL 33433-5543 2018-01-05
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1205389749 Physicians Recovery Center Inc Psychiatry & Neurology 4782 W Commercial Blvd, Tamarac, FL 33319-2878 2016-08-02
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Competitor

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City LANTANA
Zip Code 33462

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Dataset Information

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.

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