Sophros Recovery Tampa LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOPHROS RECOVERY TAMPA LLC

Practice address

10500 University Center Dr Ste 215
Tampa, FL 33612-6490

Phone

(904) 440-1479

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SOPHROS RECOVERY LLCAs reported in NPPES

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

Authorized official

Name

John Kemerer, DO

Title

Medical Director

Phone

(808) 388-3916

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Sophros Recovery LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sophros Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Jacksonville, FL
  • NPI 1750962445
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Taylor Santioni, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1427733443
  NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1306629761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 SAINT JOHNS BLUFF RD S STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322462344",
            "telephone_number": "904-440-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 UNIVERSITY CENTER DR STE 215",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126490",
            "telephone_number": "904-440-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHROS RECOVERY TAMPA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOPHROS RECOVERY LLC",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "KEMERER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-388-3916",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Michael Soper
• Sophia Caring Center Inc
• Sophia's Care LLC
• Sophies Angel Care Inc (Mind & Mobility)
• Sophos Investments LLC (Wound Management Associates)
• Sopure Pharmacy LLC
• Michael Rolf Sordan
• Gema Barbara Sordo Suarez
• Michael Sore, M.D.
• Jacqueline Ann Sorensen

• Substance Abuse Rehabilitation Facility in Tampa, FL
• Providers in Tampa, 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 Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.