| Irecoveryusa | |
|
623 N Grandview Ave Ste 213 Daytona Beach FL 32118-3813 | |
| (386) 999-4299 | |
| (561) 464-5501 |
| Full Name | Irecoveryusa |
|---|---|
| Speciality | Preventive Medicine - Addiction Medicine |
| Location | 623 N Grandview Ave Ste 213, Daytona Beach, Florida |
| Authorized Official Name and Position | Mildred Cintron (CREDENTIALING) |
| Authorized Official Contact | 5612357683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irecoveryusa 5030 Champion Blvd Ste G11-535 Boca Raton FL 33496-2473 Ph: (561) 235-7683 | Irecoveryusa 623 N Grandview Ave Ste 213 Daytona Beach FL 32118-3813 Ph: (386) 999-4299 |
| NPI Number | 1891453734 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891453734 | NPI | - | NPPES |
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