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NPI Code Detail

MEDICARE: METRO TREATMENT OF FLORIDA, LP

MEDICARE: METRO TREATMENT OF FLORIDA, 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
1251S00000XCommunity/Behavioral Health Agency
2261QM2800XMethadone Clinic
33336C0002XClinic Pharmacy
4261QM2800XMethadone ClinicFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467838706
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO TREATMENT OF FLORIDA, LP
Provider Business Mailing Address
First Line : 2500 MAITLAND CENTER PARKWAY
Second Line : SUITE 250
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 : 590 ELLIS RD S
Second Line : BLDG. 4
City : JACKSONVILLE
State : FL
Zip : 32254-3555
Country : US
Telephone Number : 904-800-2231
Fax Number : 904-800-2233
Authorized Official
Title or Position : CFO
Name : MARIA JACKSON
Credential :
Telephone Number : 407-351-7080
Provider Enumeration Date : 08/10/2015
Last Update Date : 05/16/2023

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Directions to “METRO TREATMENT OF FLORIDA, LP ” Practice Location

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