| Phoenix Houses Of Florida | |
|
510 Vonderburg Dr. Suite 301 Brandon FL 33511-6072 | |
| (813) 881-1000 | |
| (813) 689-2856 |
| Full Name | Phoenix Houses Of Florida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Vonderburg Dr., Brandon, Florida |
| Authorized Official Name and Position | Maria Alvarez (EXECUTIVE VP. & REGIONAL DIRECTOR) |
| Authorized Official Contact | 8138811000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Houses Of Florida 510 Vonderburg Dr. Suite 301 Brandon FL 33511-6072 Ph: (813) 881-1000 | Phoenix Houses Of Florida 510 Vonderburg Dr. Suite 301 Brandon FL 33511-6072 Ph: (813) 881-1000 |
| NPI Number | 1962542423 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962542423 | NPI | - | NPPES |
| 076716600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1329AD294801 (Florida) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 0542AD294801 (Florida) | Secondary |
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