# FLORIDA TREATMENT SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FTSI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295309482
- **Authorized official:** MR. LARRY COPLIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (803) 220-7288

## Contact information

- **Practice address:** 733 S GOLDENROD RD STE A, ORLANDO, FL 32822-8100
- **Practice address phone:** (407) 783-6273
- **Mailing address:** 12191 W LINEBAUGH AVE \# 753, TAMPA, FL 33626-1732
- **Mailing address phone:** (180) 322-0728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/13/2021
- **Last updated:** 05/13/2021