MEDICARE: FLORIDAS TREATMENT CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1114771797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDAS TREATMENT CENTER

Provider Business Mailing Address
First Line	:	4850 W OAKLAND PARK BLVD STE 102
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-7268
Country	:	US
Telephone Number	:	954-380-0714
Fax Number	:	877-977-5142

Provider Business Practice Location Address
First Line	:	4850 W OAKLAND PARK BLVD STE 102
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-7268
Country	:	US
Telephone Number	:	954-380-0714
Fax Number	:	877-977-5142

Authorized Official
Title or Position	:	CEO
Name	:	DAVID PAUL ZIMMERMAN
Credential	:
Telephone Number	:	954-380-0714

Provider Enumeration Date	:	04/11/2024
Last Update Date	:	03/11/2026

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Directions to “FLORIDAS TREATMENT CENTER ” Practice Location

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