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NPI Code Detail

MEDICARE: FLORIDA TREATMENT SERVICES LLC

MEDICARE: FLORIDA TREATMENT 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
1261QM0850XAdult Mental Health Clinic/Center
2261QM2800XMethadone Clinic
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1649982273
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA TREATMENT SERVICES LLC
Provider Business Mailing Address
First Line : 7134 S YALE AVE STE 560
Second Line :
City : TULSA
State : OK
Zip : 74136-6352
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4041 ROWAN RD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-6121
Country : US
Telephone Number : 727-284-1980
Fax Number : 833-411-1264
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : SCOTT THOMPSON
Credential :
Telephone Number : 918-289-0270
Provider Enumeration Date : 12/14/2022
Last Update Date : 09/13/2024

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Directions to “FLORIDA TREATMENT SERVICES LLC ” Practice Location

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