Landmark Recovery of Florida LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LANDMARK RECOVERY OF FLORIDA LLC

Practice address

3428 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-1400

Phone

(855) 950-5035

NPI assigned

Feb 28, 2022

Organization subpart

No

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

Authorized official

Name

Claire Vitualla

Title

Payor Contracting Specialist

Phone

(615) 282-1405

Specialties & licenses 1

Addresses

Tax ID family

Landmark Recovery of Florida LLC2 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.

• Landmark Recovery of Florida LLC

  • Substance Abuse Rehabilitation Facility
  • Fort Myers, FL
  • NPI 1851090351
  NPD tax ID

Locations

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1609522705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD STE 500",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325631400",
            "telephone_number": "855-950-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK RECOVERY OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "VITUALLA",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "PAYOR CONTRACTING SPECIALIST",
        "authorized_official_telephone_number": "615-282-1405"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Jenkins Kubik, PT
• Judy Kuhn
• Becky Erickson Kyler, REGISTERED NURSE
• Susan J Laenger, MD
• Thomas Lampone, M.D.
• Eric A Lane, ARNP
• Mary Jessica Langston, MS, ATC, LAT
• Kamarie Lee Larson, LCSW
• Nicole Latham
• Quintin Orville Law, MD

• All providers in Gulf Breeze, FL
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.