Florida Recovery Group, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FLORIDA RECOVERY GROUP, LLC

Practice address

1300 NW 17TH Ave
Suite 112
Delray Beach, FL 33445-2578

Phone

(561) 330-4688

Fax

(561) 270-2552

NPI assigned

May 25, 2016

Last updated

Jun 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jan Goodman, DC

Title

Ceo

Phone

(561) 330-4688

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1215385745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480427",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334480427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW 17TH AVE",
            "address_2": "SUITE 112",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452578",
            "telephone_number": "561-330-4688",
            "fax_number": "561-270-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA RECOVERY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-330-4688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Florida Pain and Rehabilitation Associates Inc
• Florida Pain and Rehabilitation Institute Inc (National Pain Institute)
• Florida Recovery Group, LLC
• Florida Spine Associates
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• Florida United Radiology, LC
• Florida Vip Medical LLC
• Florida Woman Care ,LLC

• Substance Abuse Rehabilitation Facility in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.