Active NPI
Opiate Recovery Network, LLC
- Adult Mental Health Clinic/Center
- St. Petersburg, FL
National Provider Identifier
1740696442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- ME62503
- Legal business name
- OPIATE RECOVERY NETWORK, LLC
- Practice address
- 6101 Martin Luther King Jr Blvd
St. Petersburg, FL 33713 - Phone
- (727) 527-6200
- NPI assigned
- Jul 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oswald Williams, MD
- Title
- Participating Manager
- Phone
- (813) 774-0677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | ME62503 | FL | Primary |
Addresses
Primary practice location
6101 Martin Luther King Jr Blvd
St. Petersburg, FL 33713
Mailing address
502 Pasadena Ave S
St Petersburg, FL 33707-2126
Phone (727) 381-9500
National Provider Directory
National Provider DirectoryLocations
6101 Dr Martin Luther King Jr St S
St Petersburg, FL 33705
Phone (727) 527-6200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404259200000",
"number": "1740696442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 PASADENA AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337072126",
"telephone_number": "727-381-9500",
"fax_number": "727-347-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 MARTIN LUTHER KING JR BLVD",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33713",
"telephone_number": "727-527-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPIATE RECOVERY NETWORK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "OSWALD",
"authorized_official_title_or_position": "PARTICIPATING MANAGER",
"authorized_official_telephone_number": "813-774-0677",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "FL",
"license": "ME62503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.