Sunrise Detox Orlando LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SUNRISE DETOX ORLANDO LLC

Practice address

2431 Sand Lake Rd
Orlando, FL 32809-7641

Phone

(855) 876-8648

NPI assigned

Dec 22, 2015

Last updated

Oct 11, 2023By 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

Nick Matteo

Title

Cfo

Phone

(561) 318-4430

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Opioid treatment program

Medicare-enrolled since May 15, 2025

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge J Dorta-Duque, M.D.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1124053699
  NPD
• Jennifer Libano Dos Anjos

  • Addiction (Substance Use Disorder) Counselor
  • Orlando, FL
  • NPI 1912689803
  NPD
• Molly K Lindblom, MSN, FNP-BC

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1497212690
  NPD
• Hannah Rychel Allen, MSW, LCSW

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1558035337
  NPD (past)

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1790140408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 10TH AVE N STE 302",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097641",
            "telephone_number": "855-876-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DETOX ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "MATTEO",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-318-4430"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Path Therapy Service
• Sumol Sunny, APRN
• Sunrise Community, Inc.
• Sunrise Counseling, LLC
• Sunrise Detox Orlando FL, LLC
• Sunrisedme LLC
• Sunsationall Kidz Gym
• Sunshine ABA
• Sunshine Ankle and Foot Experts PLLC (Safe)
• Sunshine Care

• Mental Illness Community Based Residential Treatment Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.