Organization
IRECOVERY, LLC
Active
Parent organization
IRECOVERY, LLC
Other names
iRecoveryUSA
Organization subpart
Yes
Provider details
NPI number
Legal business name
IRECOVERY, LLC
Authorized official
MILDRED CINTRON (CREDENTIALING SPECIALIST)
(561) 235-7683
Entity
Organization
Contact information
Practice address
12557 NEW BRITTANY BLVD STE 3V-52, FORT MYERS, FL 33907-3651
(239) 299-0322
(561) 464-5501
Mailing address
5030 CHAMPION BLVD STE G11-535, BOCA RATON, FL 33496-2473
(561) 235-7683
(561) 464-5501
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107100604
—
FL
Enumeration date
07/23/2021
Last updated
02/24/2023
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