Organization
REDCON1 RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC OTERO DPT (DIRECTOR OF OPERATIONS)
(407) 922-7622
Entity
Organization
Contact information
Practice address
990 S ROGERS CIR STE 7, BOCA RATON, FL 33487-2836
(407) 572-0313
Mailing address
990 S ROGERS CIR STE 7, BOCA RATON, FL 33487-2836
(407) 572-0313
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
225700000X
Massage Therapist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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