Starting Pointe Recovery Inc. | |
201 4th Ave E Ste 2 Bradenton FL 34208-1043 | |
(941) 226-0018 | |
(941) 260-4872 |
Full Name | Starting Pointe Recovery Inc. |
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Speciality | Preventive Medicine |
Location | 201 4th Ave E Ste 2, Bradenton, Florida |
Authorized Official Name and Position | Tina Marie Jackson (PRESIDENT/CEO) |
Authorized Official Contact | 5174106164 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Starting Pointe Recovery Inc. 201 4th Ave E Ste 2 Bradenton FL 34208-1043 Ph: (941) 226-0018 | Starting Pointe Recovery Inc. 201 4th Ave E Ste 2 Bradenton FL 34208-1043 Ph: (941) 226-0018 |
NPI Number | 1306609854 |
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Provider Enumeration Date | 02/06/2024 |
Last Update Date | 09/11/2024 |
Certification Date | 09/11/2024 |
Medicare PECOS PAC ID | 0840631768 |
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Medicare Enrollment ID | O20240509002113 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306609854 | NPI | - | NPPES |
122264900 | Medicaid | FL |
Provider Name | Eileen M Burchby |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1407808744 PECOS PAC ID: 3577465889 Enrollment ID: I20211118003123 |
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