Healthcare Provider Details
I. General information
NPI: 1952979114
Provider Name (Legal Business Name): SOUTH FLORIDA MENTAL HEALTH & RECOVERY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
302 W PALM DR
FLORIDA CITY FL
33034-3344
US
IV. Provider business mailing address
302 W PALM DR
FLORIDA CITY FL
33034-3344
US
V. Phone/Fax
- Phone: 786-339-8824
- Fax: 786-349-7132
- Phone: 786-339-8824
- Fax: 786-349-7132
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOEY
PEREZ
Title or Position: PRESIDENT
Credential:
Phone: 786-339-8824