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NPI Code Detail

MEDICARE: METRO TREATMENT OF MISSOURI LP

MEDICARE: METRO TREATMENT OF MISSOURI LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2800XMethadone Clinic
23336C0002XClinic Pharmacy1339MO
3251S00000XCommunity/Behavioral Health AgencyMO

General Provider Information

NPI Number : 1043584402
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO TREATMENT OF MISSOURI LP
Provider Business Mailing Address
First Line : 2500 MAITLAND CENTER PKWY STE 250
Second Line :
City : MAITLAND
State : FL
Zip : 32751-4174
Country : US
Telephone Number : 407-351-7080
Fax Number : 407-351-6930
Provider Business Practice Location Address
First Line : 760 S KINGSHIGHWAY STE F
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-7676
Country : US
Telephone Number : 573-335-4333
Fax Number : 407-351-6930
Authorized Official
Title or Position : VP, MANAGED CARE
Name : SCOTT CALL
Credential :
Telephone Number : 480-826-3929
Provider Enumeration Date : 03/02/2012
Last Update Date : 02/23/2026

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Directions to “METRO TREATMENT OF MISSOURI LP ” Practice Location

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