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Organization
IRECOVERY, LLC
Active
Organization
IRECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILDRED CINTRON (CREDENTIALING)
(561) 235-7683
Entity
Organization
Contact information
Practice address
4000 HOLLYWOOD BLVD STE 555S, HOLLYWOOD, FL 33021-6853
(954) 266-0983
(561) 464-5501
Mailing address
5030 CHAMPION BLVD STE G11-535, BOCA RATON, FL 33496-2473
(561) 235-7683
(561) 279-3351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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