Healthcare Provider Details

I. General information

NPI: 1043090384
Provider Name (Legal Business Name): METRO TREATMENT OF FLORIDA, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2023
Last Update Date: 10/04/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1497 FOREST HILL BLVD STE E
LAKE CLARKE SHORES FL
33406-6052
US

IV. Provider business mailing address

2500 MAITLAND CENTER PKWY
MAITLAND FL
32751-7224
US

V. Phone/Fax

Practice location:
  • Phone: 561-433-5687
  • Fax: 561-433-5705
Mailing address:
  • Phone: 407-351-7080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: SARAH CHAPMAN
Title or Position: PAYOR RELATIONS
Credential:
Phone: 407-351-7080