Organization Active NPI

Opiate Recovery Network, LLC

  • Adult Mental Health Clinic/Center
  • St. Petersburg, FL
National Provider Identifier
1740696442
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
ME62503 Issued in FL
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

Updated by the provider on Jul 2, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.