NPIMap

Organization Active NPI

Metro Treatment of Florida, LP

  • Methadone Clinic
  • Jacksonville, FL
National Provider Identifier
1508072794
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
METRO TREATMENT OF FLORIDA, LP
Doing business as
New Season Treatment Center 5
Practice address
4427 Emerson Street
BLDG. 4
Jacksonville, FL 32207-4960
Phone
(904) 398-7015
Fax
(904) 346-0837
NPI assigned
May 15, 2007
Organization subpart
Yes
Parent organization
METRO TREATMENT OF FLORIDA, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Maria Jackson
Title
Cfo
Phone
(407) 351-7080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0416AD121900 FL
Methadone Clinic 261QM2800X Primary
Clinic Pharmacy 3336C0002X PH 15619 FL

Addresses

Primary practice location

4427 Emerson Street
BLDG. 4
Jacksonville, FL 32207-4960

Mailing address

2500 Maitland Center Parkway
Suite 250
Maitland, FL 32751-4174
Phone (407) 351-7080

Other names 1

  • New Season Treatment Center 5 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200116002687 FL Part B Supplier - Opioid Treatment Program (Otp) 5496189540 30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orange Park, FL; Pinellas Park, FL; Orlando, FL; Palm Coast, FL; Pompano Beach, FL; Port Charlotte, FL; Sarasota, FL; Spring Hill, FL…

Other NPIs on the same Medicare enrollment 30

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 30

National Provider Directory

National Provider Directory
Tax ID family
Metro Treatment of FL LP37 organizations share this tax ID, including this one
Part of
Metro Treatment of FL LP

Other organizations with this tax ID 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1508072794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MAITLAND CENTER PARKWAY",
            "address_2": "SUITE 250",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514174",
            "telephone_number": "407-351-7080",
            "fax_number": "407-351-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 EMERSON STREET",
            "address_2": "BLDG. 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074960",
            "telephone_number": "904-398-7015",
            "fax_number": "904-346-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO TREATMENT OF FLORIDA, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO TREATMENT OF FLORIDA, LP",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-351-7080"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0416AD121900",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH 15619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Season Treatment Center 5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.