MEDICARE: RECOVERY SOLUTIONS OF CENTRAL FLORIDA, INC

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	324500000X	Substance Abuse Rehabilitation Facility	3501	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SW 10626	OTHER	FL	DEPARTMENT OF HEALTH
2	4777	OTHER	FL	FLORIDA CERTIFICATION BOARD

General Provider Information

NPI Number	:	1831563691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY SOLUTIONS OF CENTRAL FLORIDA, INC

Provider Business Mailing Address
First Line	:	4820 N HIGHWAY 19A
Second Line	:	SUITE 2
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-2043
Country	:	US
Telephone Number	:	352-800-4100
Fax Number	:	352-800-4102

Provider Business Practice Location Address
First Line	:	4820 N HIGHWAY 19A
Second Line	:	SUITE 2
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-2043
Country	:	US
Telephone Number	:	352-800-4101
Fax Number	:	352-800-4102

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. PAMELA ANN HAND
Credential	:	LCSW, CAP
Telephone Number	:	954-856-0030

Provider Enumeration Date	:	11/17/2015
Last Update Date	:	07/21/2022

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