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NPI Code Detail

MEDICARE: ADDICTION RECOVERY MEDICAL SERVICES LLC

MEDICARE: ADDICTION RECOVERY MEDICAL SERVICES LLC
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
1207RA0401XAddiction Medicine (Internal Medicine) PhysicianOS12975FL
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center5001FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AV3OTHERFLBCBS

General Provider Information

NPI Number : 1336516798
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDICTION RECOVERY MEDICAL SERVICES LLC
Provider Business Mailing Address
First Line : 222 YAMATO RD
Second Line : SUITE 106-225
City : BOCA RATON
State : FL
Zip : 33431-4704
Country : US
Telephone Number : 561-303-2912
Fax Number : 561-303-2951
Provider Business Practice Location Address
First Line : 230 SE 23RD AVE
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7620
Country : US
Telephone Number : 561-303-2912
Fax Number : 561-303-2951
Authorized Official
Title or Position : PHYSICIAN
Name : DR. MAX LOUIS CITRIN
Credential : D.O.
Telephone Number : 56130322912
Provider Enumeration Date : 09/01/2015
Last Update Date : 07/21/2022

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Directions to “ADDICTION RECOVERY MEDICAL SERVICES LLC ” Practice Location

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