NPIMap

Organization Active NPI

Metro Treatment of Florida, LP

  • Methadone Clinic
  • Port Charlotte, FL
National Provider Identifier
1891423372
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
METRO TREATMENT OF FLORIDA, LP
Doing business as
New Season Treatment Center 30
Practice address
20580 Veterans Blvd Ste 103
Port Charlotte, FL 33954-2216
Phone
(941) 667-5660
Fax
(941) 444-9178
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Maria Jackson
Title
Cfo
Phone
(407) 351-7080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Methadone Clinic 261QM2800X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

20580 Veterans Blvd Ste 103
Port Charlotte, FL 33954-2216

Mailing address

PO Box 440133
Nashville, TN 37244-0133
Phone (407) 351-7080

Other names 1

  • New Season Treatment Center 30 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payor.relations@cmglp.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200116002687 FL Part B Supplier - Opioid Treatment Program (Otp) 5496189540 30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orange Park, FL; Pinellas Park, FL; Orlando, FL; Palm Coast, FL; Pompano Beach, FL; Port Charlotte, FL; Sarasota, FL; Spring Hill, FL…

Other NPIs on the same Medicare enrollment 30

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 30

National Provider Directory

National Provider Directory
Tax ID family
Metro Treatment of FL LP37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

20580 Veterans Blvd
Ste 103
Port Charlotte, FL 33954
Phone (941) 667-5660

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1891423372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440133",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440133",
            "telephone_number": "407-351-7080",
            "fax_number": "407-351-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20580 VETERANS BLVD STE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542216",
            "telephone_number": "941-667-5660",
            "fax_number": "941-444-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO TREATMENT OF FLORIDA, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-351-7080"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payor.relations@cmglp.com",
            "affiliation": "N",
            "address_1": "20580 Veterans Blvd Ste 103",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339542216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New Season Treatment Center 30",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Season Treatment Center 30",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.