Las Olas Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1706AD908201 Issued in FL

Legal business name

LAS OLAS RECOVERY

Practice address

600 SE 2ND CT
Fort Lauderdale, FL 33301-3621

Phone

(754) 201-2265

NPI assigned

Jun 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Borkowski

Title

Authorized Official

Phone

(954) 487-1224

Specialties & licenses 2

Addresses

Other names 1

• Pathway to Hope Doing business as

Tax ID family

Las Olas Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Las Olas Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1306218276
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1043573249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SE 2ND CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SE 2ND CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013621",
            "telephone_number": "754-201-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS OLAS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "BORKOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-487-1224"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1706AD908201",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1706AD908202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathway to Hope",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pathway to Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grant Larocque, CRNA
• Las Olas Chemist
• Las Olas Dental Orthodontic and Implant Center
• Las Olas Dermatology Inc
• Las Olas Medical Management PA
• Las Olas Recovery
• Jemel Amontos Lasig, PT
• Maverick Aaron Lasker, DO
• Thalia Lastra
• Latitude North Corporation

• Substance Use Disorder Rehabilitation Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.