MEDICARE: METRO TREATMENT OF MISSISSIPPI LP

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	261QM2800X	Methadone Clinic

General Provider Information

NPI Number	:	1124559976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO TREATMENT OF MISSISSIPPI LP

Provider Business Mailing Address
First Line	:	2500 MAITLAND CENTER PKWY STE 250
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-4174
Country	:	US
Telephone Number	:	407-351-7080
Fax Number	:	407-351-6930

Provider Business Practice Location Address
First Line	:	1989 PASS RD
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39531-4103
Country	:	US
Telephone Number	:	228-207-1248
Fax Number	:	407-351-6930

Authorized Official
Title or Position	:	VP, MANAGED CARE
Name	:	SCOTT CALL
Credential	:
Telephone Number	:	480-826-3929

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	02/23/2026

Similar Medicare Providers

1144380874 — MRS. GAIL H JOHNSON LCSW
Practice Location Address:

1903 PASS RD , SUITE E
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39531-4103

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1386147874 — RICHARD JOHN GORMAN MD
Practice Location Address:

1903 PASS RD STE A
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1699263699 — MRS. CANDIS LEE CMHT
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1989 PASS RD
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Practice Fax:

1083103840 — MRS. SHELBI BRADLEY LPC
Practice Location Address:

1989 PASS RD
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Practice Fax:

1457842403 — MS. KAY-ANN WRIGHT
Practice Location Address:

1989 PASS RD
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1013530344 — JENNIFER NEFF
Practice Location Address:

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