Landmark Recovery of Florida LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LANDMARK RECOVERY OF FLORIDA LLC

Practice address

1896 Park Meadows Dr
Fort Myers, FL 33907-3738

Phone

(855) 950-5035

NPI assigned

Feb 23, 2023

Last updated

Feb 23, 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

Claire Vitualla

Title

Credentialing Contracting Manager

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
  • Gulf Breeze, FL
  • NPI 1609522705
  NPD tax ID

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1851090351",
    "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": "1896 PARK MEADOWS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073738",
            "telephone_number": "855-950-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK RECOVERY OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "VITUALLA",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "CREDENTIALING CONTRACTING MANAGER",
        "authorized_official_telephone_number": "615-282-1405"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catheline Bourdeau Lamour, MS
• Lamplight FM PLC LLC (Lamplight of Fort Myers)
• Lana Perkins RN BS DC PA
• Kimberly Marie Land, MSW
• Jesse Landis, LCSW
• Lane Pediatrics PA
• Crystal Dawn Lane, PMHNP-BC
• Richard J Lane, MD
• Tisha Jane Lane, MS, LMHC
• Timothy Dean Langbehn, CCP

• Substance Abuse Rehabilitation Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.