Millennium Recovery Center

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

MILLENNIUM RECOVERY CENTER

Practice address

115 SW 11TH Ave
Delray Beach, FL 33444-1527

Phone

(954) 461-7435

NPI assigned

Mar 27, 2017

Last updated

Mar 27, 2017By 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

Angela Iacullo

Title

Director of Billing

Phone

(954) 461-7435

Specialties & licenses 1

Addresses

Tax ID family

Millennium Recovery Center2 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.

• Millennium Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Delray Beach, FL
  • NPI 1417498130
  NPD tax ID

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1881125128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SW 11TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334441527",
            "telephone_number": "954-461-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SW 11TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334441527",
            "telephone_number": "954-461-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "IACULLO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "954-461-7435"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Milanian
• Milestone Occupational Therapy LLC
• Richard Paul Milgrim, MD
• September A Millar
• Millennium Recovery Center
• Miller Orthopedic and Sports Rehab Inc (Miller Physical Therapy)
• Miller Physical Therapy at Home
• Amber Diamond Miller
• Catharine Elizabeth Miller I
• Darcia R. Miller

• Addiction Medicine (Family Medicine) Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.