Recreate Life Wellness Group LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

RECREATE LIFE WELLNESS GROUP LLC

Practice address

7570 S Federal Hwy Ste 7
Lantana, FL 33462-6060

Phone

(561) 814-2055

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Jesse Reuter, CAP

Title

Manager

Phone

(561) 914-6030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1861902173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 NE 5TH AVE STE D316",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 S FEDERAL HWY STE 7",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334626060",
            "telephone_number": "561-814-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECREATE LIFE WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "REUTER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-914-6030",
        "authorized_official_credential": "CAP"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Lantana, FL by specialty
• Addiction Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.