Organization · Type 2 NPI

Irecovery, LLC

Addiction Medicine (Preventive Medicine) Physician · Daytona Beach, FL

NPI number 1891453734 Active

Practice location

623 N Grandview Ave Ste 213
Daytona Beach, FL 32118-3813

Call (386) 999-4299 Map

Fax (561) 464-5501

Mailing address

5030 Champion Blvd Ste G11-535
Boca Raton, FL 33496-2473

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Psychologist	103T00000X	None listed
Clinical Social Worker	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	None listed
Addiction Medicine (Family Medicine) Physician	207QA0401X	None listed
Addiction Medicine (Preventive Medicine) Physician Primary	2083A0300X	None listed
Psychiatry Physician	2084P0800X	None listed

Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

NPI record

NPI: 1891453734
Entity type: Organization (Type 2)
Issued: Dec 7, 2021
Last updated: Nov 15, 2022
Status: Active
Subpart: Yes of Irecovery, LLC

Other names

<unavail>
Irecoveryusa · doing business as
Irecoveryusa · doing business as

Authorized official

Mildred Cintron
Credentialing
(561) 235-7683

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891453734

Irecovery, LLC's National Provider Identifier is 1891453734, issued on Dec 7, 2021. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Daytona Beach, FL. The record was last updated on Nov 15, 2022.