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Organization

CANOPY BREEZE RECOVERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANTIE ELISABETH JORANDBY MD (CEO)
(617) 459-3380
Entity
Organization

Contact information

Practice address
13305 MAHAN DR, TALLAHASSEE, FL 32309-8698
(617) 459-3380
Mailing address
350 PENSACOLA BEACH RD, GULF BREEZE, FL 32561-4815
(617) 459-3380

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
01/08/2026
Last updated
01/08/2026
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