RECOVERY INSTITUTE OF THE SOUTH EAST P.A.


Address: 915 Middle River Dr Ste 201, Ft Lauderdale, FL 33304-3559
Phone: 8007239788

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 382147100 05
FL 017837600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
700 E Atlantic Blvd, Suite#201, Pompano Beach, FL 330606353 7543075404 8663810360

Office Location

Street Address 915 MIDDLE RIVER DR STE 201
City FT LAUDERDALE
State FL
Zip Code 33304-3559

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City FT LAUDERDALE
Zip Code 33304

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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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