Ireboot, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH12380 Issued in FL

Legal business name

IREBOOT, LLC

Practice address

4511 N Himes Ave Ste 200
Tampa, FL 33614-7085

Phone

(813) 422-7609

NPI assigned

Apr 19, 2016

Last updated

Apr 19, 2016By 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

Cynthia Citron

Title

Owner

Phone

(813) 422-7609

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1518311398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 W LEMON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061002",
            "telephone_number": "813-422-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 N HIMES AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147085",
            "telephone_number": "813-422-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IREBOOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "CITRON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-422-7609"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH12380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Reza Iranmanesh, DMD, MSD
• Nika Iranmanesh
• Nima Iranmanesh, DMD
• Julia Francesca Irby, ARNP
• Irc Integral Rehabilitation Center
• Irecovery, LLC (iRecoveryUSA)
• Laurencia Irish
• Sweeney Irizarry Perez
• Annette Irizarry, PHARMD
• Betsy Noelle Boyce Irizarry, OTR/L

• Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.