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Organization

FLORIDA DETOX AND RECOVERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GEORGEANNE ROMEO (EXECUTIVE DIRECTOR)
(239) 877-2304
Entity
Organization

Contact information

Practice address
6804 PORTO FINO CIR, SUITE 1, FORT MYERS, FL 33912-7139
(239) 332-4700
Mailing address
6804 PORTO FINO CIR, SUITE 1, FORT MYERS, FL 33912-7139
(239) 332-4700

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
04/09/2014
Last updated
04/09/2014
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