METRO TREATMENT OF FLORIDA, LP (NPI# 1760697569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760697569 |
Entity Type | Organization |
Organization Name | METRO TREATMENT OF FLORIDA, LP |
Other Organization Name | DAYTONA METRO TREATMENT CENTER |
Practice Address |
1823 Business Park Blvd Daytona Beach FL 32114-1230 |
Mailing Address |
2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 |
Practice Telephone | 3862541931 |
Practice Fax Number | 3862555818 |
Mailing Telephone | 4073517080 |
Mailing Fax Number | 4073516930 |
Enumeration Date | 2007-05-14 |
Last Update Date | 2019-08-15 |
Authorized Official Name | MR. RODNEY WILLIAMS (CFO) |
Authorized Official Telephone | 4073517080 |
Is Organization Subpart | Y |
Parent Organization Name | METRO TREATMENT OF FLORIDA, LP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PH 15620 | FL | Suppliers |
N | 251S00000X | Community/Behavioral Health | 1264AD121901 | FL | Agencies |
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Daytona Metro Treatment Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962048173 | Metro Treatment of Florida, Lp | Clinical Medical Laboratory | 5794 S Semoran Blvd, Orlando, FL 32822-4819 | 2019-11-22 |
1902278427 | Metro Treatment of Florida, Lp | Pharmacy | 1415 Homestead Rd, Lehigh Acres, FL 33936-4830 | 2015-10-23 |
1467838706 | Metro Treatment of Florida, Lp | Clinic/Center | 590 Ellis Rd S, Bldg. 4, Jacksonville, FL 32254-3555 | 2015-08-10 |
1740622307 | Metro Treatment of Florida, Lp | Community/Behavioral Health | 2770 Davis Blvd, Suite 90, Naples, FL 34104-4371 | 2013-07-24 |
1487096038 | Metro Treatment of Florida, Lp | Community/Behavioral Health | 323 Interstate Blvd, Sarasota, FL 34240-8409 | 2013-07-24 |
1497961791 | Metro Treatment of Florida, Lp | Community/Behavioral Health | 8800 49th St N, Suite 106, Pinellas Park, FL 33782-5332 | 2007-05-15 |
1538375852 | Metro Treatment of Florida, Lp | Pharmacy | 1101 S 21st Ave, Hollywood, FL 33020-6935 | 2007-05-15 |
1932315173 | Metro Treatment of Florida, Lp | Community/Behavioral Health | 1919 N Pinellas Ave, Tarpon Springs, FL 34689-5780 | 2007-05-15 |
1508072794 | Metro Treatment of Florida, Lp | Community/Behavioral Health | 4427 Emerson Street, Bldg. 4, Jacksonville, FL 32207-4960 | 2007-05-15 |
1780899336 | Metro Treatment of Florida, Lp | Community/Behavioral Health | 306 E Oak St, Kissimmee, FL 34744-4537 | 2007-05-14 |
Street Address |
1823 BUSINESS PARK BLVD |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-1230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720646094 | Glenn Wilbur Scanes Jr. | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2019-06-03 |
1962900324 | Catherin Grace O'neill | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-31 |
1720586498 | Maria Zavala | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-29 |
1821596495 | Annette Margaret Gerardi | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-29 |
1629576897 | Jessica Shaffer | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-23 |
1841708450 | Patricia Ann Schwind Norris | Social Worker | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-17 |
1619485315 | Symone Ayana Ellis | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-16 |
1295242709 | Amy Kundinger | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-05 |
1366959264 | Kayla Marie Goldsby | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-02 |
1730696634 | Justin William Knighton | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902405749 | Crc Health Treatment Clinics, LLC | Clinic/Center | 4553 Watkins Street, Pace, FL 32571-2511 | 2020-10-22 |
1558826727 | Better Choices Clinic LLC | Clinic/Center | 8910 Miramar Pkwy Ste 309, Miramar, FL 33025-4188 | 2019-02-01 |
1700396090 | Palm Beach Drug Testing, LLC. | Clinic/Center | 2809 Poinsettia Ave Ste H, West Palm Beach, FL 33407-5426 | 2017-10-02 |
1487172797 | Premier Recovery Institute LLC | Clinic/Center | 1580 Santa Barbara Blvd Ste C, The Villages, FL 32159-6828 | 2017-09-07 |
1467838706 | Metro Treatment of Florida, Lp | Clinic/Center | 590 Ellis Rd S, Bldg. 4, Jacksonville, FL 32254-3555 | 2015-08-10 |
1851795157 | Metro Treatment of Texas, Lp | Clinic/Center | 8529 Southpark Cir Ste 270, Orlando, FL 32819-9017 | 2014-10-15 |
1033546080 | River Region Human Services | Clinic/Center | 2055 Reyko Rd, Suite 101, Jacksonville, FL 32207-2822 | 2013-10-07 |
1427120856 | Public Health Trust of Dade County Florida | Clinic/Center | 1660 Nw 7th Ct, Highland Pavillion, Miami, FL 33136-1420 | 2006-11-14 |
1831686765 | Colonial Management Group | Clinic/Center | 8800 49th St N Ste 106, Pinellas Park, FL 33782-5332 | 2018-04-17 |
1629597869 | Garden Life Wellness, LLC | Clinic/Center | 401 N Rosemary Ave, West Palm Beach, FL 33401 | 2017-09-19 |
Find all providers with the same taxonomy |
City | DAYTONA BEACH |
Zip Code | 32114 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.