RECOVERY INSTITUTE OF THE SOUTH EAST P.A. (NPI# 1881014405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881014405 |
Entity Type | Organization |
Organization Name | RECOVERY INSTITUTE OF THE SOUTH EAST P.A. |
Practice Address |
915 Middle River Dr Ste 201 Ft Lauderdale FL 33304-3559 |
Practice Telephone | 8007239788 |
Practice Fax Number | 8007239788 |
Mailing Telephone | 8007239788 |
Mailing Fax Number | 8007239788 |
Enumeration Date | 2014-04-22 |
Last Update Date | 2020-01-28 |
Authorized Official Name | BET SHADDINGER (CEO, OWNER, ADMINISTRATOR) |
Authorized Official Telephone | 8007239788 |
Authorized Official Credential | LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 382147100 | 05 | |
FL | 017837600 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
700 E Atlantic Blvd, Suite#201, Pompano Beach, FL 330606353 | 7543075404 | 8663810360 |
Street Address |
915 MIDDLE RIVER DR STE 201 |
City | FT LAUDERDALE |
State | FL |
Zip Code | 33304-3559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972128379 | Nurse Practitioner On Demand LLC | Clinic/Center | 1491 N Federal Hwy, Fort Lauderdale, FL 33304 | 2020-06-11 |
1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
1073176970 | Giant Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1975 E. Sunrise Blvd, Ste 503, Fort Lauderdale, FL 33304 | 2019-04-16 |
1790283000 | Genoa Healthcare, LLC | Pharmacy | 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 | 2018-02-01 |
1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
1033652847 | A Healthier You Wellness Center, Inc. | Reflexologist | 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 | 2016-11-28 |
1871975995 | Sahyma Pampin | Physician Assistant | 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 | 2015-06-25 |
1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
1053721027 | Felice D. Fusca | Social Worker | 1208 Ne 17 Av, Fort Lauderdale, FL 33304 | 2014-04-30 |
Find all providers in zip 33304 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Find all providers with the same taxonomy |
City | FT LAUDERDALE |
Zip Code | 33304 |
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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.