Healthcare Provider Details

I. General information

NPI: 1639044514
Provider Name (Legal Business Name): HOPEFUL RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4362 NORTHLAKE BLVD STE 101
PALM BEACH GARDENS FL
33410-6270
US

IV. Provider business mailing address

216 PARK RD N
ROYAL PALM BEACH FL
33411-4741
US

V. Phone/Fax

Practice location:
  • Phone: 561-563-3610
  • Fax:
Mailing address:
  • Phone: 561-563-3610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL G WOLFORD
Title or Position: OWNER
Credential: DO
Phone: 561-524-5871