MEDICARE: RECOVERY FIRST, INC

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	324500000X	Substance Abuse Rehabilitation Facility	1006AD492601	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	S5D	OTHER	FL	BCBS PROVIDER NUMBER
2	7206887	OTHER	FL	AETNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1992822688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY FIRST, INC

Provider Business Mailing Address
First Line	:	5844 STIRLING RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-1527
Country	:	US
Telephone Number	:	954-981-9228
Fax Number	:	954-981-1660

Provider Business Practice Location Address
First Line	:	5844 STIRLING RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-1527
Country	:	US
Telephone Number	:	954-981-9228
Fax Number	:	954-981-1660

Authorized Official
Title or Position	:	OPERATIONS DIRECTOR
Name	:	MRS. ZARINA CHIN
Credential	:
Telephone Number	:	954-981-9228

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/22/2020

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