MEDICARE: SOUTH FLORIDA FRONTLINE RECOVERY CENTER

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
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1306637673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA FRONTLINE RECOVERY CENTER

Provider Business Mailing Address
First Line	:	470 S ANDREWS AVE STE 206
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-3537
Country	:	US
Telephone Number	:	786-988-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	470 S ANDREWS AVE STE 206
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-3537
Country	:	US
Telephone Number	:	786-988-5900
Fax Number	:

Authorized Official
Title or Position	:	MANAGING EMPLOYEE
Name	:	SHANNON M ERB
Credential	:
Telephone Number	:	859-304-4047

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/15/2025

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Directions to “SOUTH FLORIDA FRONTLINE RECOVERY CENTER ” Practice Location

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