Pathway 2 Recovery Gold Coast, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PATHWAY 2 RECOVERY GOLD COAST, LLC

Practice address

23116A Sandal Foot Plaza Drive
Boca Raton, FL 33428-6500

Phone

(954) 634-3911

Fax

(954) 634-3912

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

Mark Seifert

Title

Billing Manager

Phone

(954) 634-3911

Specialties & licenses 1

Addresses

Tax ID family

Kosher Soberiety2 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.

• Pathway 2 Recovery Gold Coast

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boca Raton, FL
  • NPI 1710391966
  NPD tax ID

Locations

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1639577950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23116A SANDAL FOOT PLAZA DRIVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286500",
            "telephone_number": "954-634-3911",
            "fax_number": "954-634-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23116A SANDAL FOOT PLAZA DRIVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286500",
            "telephone_number": "954-634-3911",
            "fax_number": "954-634-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY 2 RECOVERY GOLD COAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "SEIFERT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-634-3911"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatabdi Patel, MD
• Sunil C Patel, MD
• Vinu D Patel, PA
• Path Medical, LLC
• Pathway 2 Recovery Gold Coast
• Pathways to Progress Therapy Services, LLC
• Patient Care Home Health Services LLC
• Patient Provider Network LLC
• Patients Partner
• Raphael Patino, ATC

• Substance Use Disorder Rehabilitation Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.