Organization
INTERNATIONAL RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX FUNDORA (PRESIDENT)
(305) 600-3255
Entity
Organization
Contact information
Practice address
1825 NW 112TH AVE, SUITE 151, MIAMI, FL 33172-1815
(305) 600-3255
(844) 330-8261
Mailing address
1825 NW 112TH AVE, SUITE 151, MIAMI, FL 33172-1815
(305) 600-3255
(844) 330-8261
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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