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Organization

IRECOVERY, LLC

Active
Other names
iRecoveryUSA
Organization subpart
No

Provider details

NPI number
Authorized official
MILDRED CINTRON (CREDENTIALING)
(561) 235-7683
Entity
Organization

Contact information

Practice address
7320 E FLETCHER AVE, TAMPA, FL 33637-0916
(813) 522-8214
(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
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
363A00000X
Physician Assistant

Other

Enumeration date
03/07/2022
Last updated
12/22/2022
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