Healthcare Provider Details

I. General information

NPI: 1033703426
Provider Name (Legal Business Name): ADVANCED RECOVERY SYSTEMS TECHNOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2021
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FINANCIAL PLZ STE 1800
FORT LAUDERDALE FL
33394-0011
US

IV. Provider business mailing address

1 FINANCIAL PLZ STE 1800
FORT LAUDERDALE FL
33394-0011
US

V. Phone/Fax

Practice location:
  • Phone: 754-300-3120
  • Fax: 888-919-4431
Mailing address:
  • Phone: 754-300-3120
  • Fax: 888-919-4431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: BELINA SURUJON
Title or Position: CONTRACTING & LICENSING DIRECTOR
Credential:
Phone: 754-300-3120