SUNRISE DETOX ORLANDO LLC (NPI# 1790140408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790140408 |
| Entity Type | Organization |
| Organization Name | SUNRISE DETOX ORLANDO LLC |
| Practice Address |
2431 Sand Lake Rd Orlando FL 32809-7641 |
| Mailing Address |
2328 10th Ave N Ste 302 Lake Worth FL 33461-6612 |
| Practice Telephone | 8558768648 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | NICK MATTEO (CFO) |
| Authorized Official Telephone | 5613184430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
2431 SAND LAKE RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32809-7641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003271719 | Mh At Orlando LLC | Psychologist | 2431 Sand Lake Rd, Orlando, FL 32809-7641 | 2015-12-22 |
| 1083247399 | Brittany Rochelle L'etoile-lopes | Counselor | 2431 Sand Lake Rd, Orlando, FL 32809-7641 | 2020-02-14 |
| 1881051332 | Shaun Barber | Nurse Practitioner | 2431 Sand Lake Rd, Orlando, FL 32809-7641 | 2016-01-27 |
| 1558726257 | W Sand Lake Medical Group LLC | Internal Medicine | 2431 Sand Lake Rd, Orlando, FL 32809-7641 | 2015-12-22 |
| 1316302029 | Vibro At Orlando LLC | Nurse Practitioner | 2431 Sand Lake Rd, Orlando, FL 32809-7641 | 2015-12-22 |
| 1255796959 | Orlando Diagnostics LLC | Clinical Medical Laboratory | 2431 Sand Lake Rd, Orlando, FL 32809-7641 | 2015-12-22 |
| 1659736361 | Pt At Orlando LLC | Physical Therapist | 2431 Sand Lake Rd, Orlando, FL 32809-7641 | 2015-12-22 |
| 1881059582 | Chiro At Orlando | Chiropractor | 2431 Sand Lake Rd, Orlando, FL 32809-7641 | 2015-12-22 |
| 1114382827 | Acu At Orlando LLC | Acupuncturist | 2431 Sand Lake Rd, Orlando, FL 32809-7641 | 2015-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
| 1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
| 1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
| 1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
| 1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
| 1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
| 1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
| 1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
| Find all providers in zip 32809 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548554512 | Colonial Counseling Associates, Inc | Substance Abuse Rehabilitation Facility | 625 B. Herndon Avenue, Orlando, FL 32803 | 2011-06-07 |
| 1730163379 | Lisa Merlin House, Inc. | Substance Abuse Rehabilitation Facility | 3101 N Pine Hills Rd, Orlando, FL 32808-3543 | 2005-12-06 |
| 1215277173 | Center for Drug Free Living | Substance Abuse Rehabilitation Facility | 1405 W Michigan St, Orlando, FL 32805-6123 | 2013-02-28 |
| 1427194430 | The Center for Drug Free Living | Substance Abuse Rehabilitation Facility | 5151 Adanson St, Suite 200, Orlando, FL 32804-1330 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUNRISE DETOX ORLANDO LLC.
| 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.