Healthcare Provider Details

I. General information

NPI: 1013717941
Provider Name (Legal Business Name): REAL RECOVERY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5352 GULF DR
NEW PORT RICHEY FL
34652-3920
US

IV. Provider business mailing address

14702 N FLORIDA AVE STE 200
TAMPA FL
33613-1822
US

V. Phone/Fax

Practice location:
  • Phone: 813-945-7922
  • Fax: 813-565-9110
Mailing address:
  • Phone: 813-554-9880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: CARLOS E ESCOBAR
Title or Position: CLINICAL DIRECTOR
Credential: LMHC
Phone: 727-351-1978