Organization
FLORIDA TREATMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY WENDELL COPLIN (CHIEF EXECUTIVE DIRECTOR)
(803) 220-7288
Entity
Organization
Contact information
Practice address
733 S GOLDENROD RD, ORLANDO, FL 32822-8100
(803) 220-7288
Mailing address
PO BOX 745, 12191 WEST LINEBAUGH AVENUE, TAMPA, FL 33626-0745
(803) 220-7288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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