Active NPI
Palm Beach Recovery Center, LLC
- Substance Abuse Rehabilitation Facility
- Fort Lauderdale, FL
National Provider Identifier
1922400928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- PALM BEACH RECOVERY CENTER, LLC
- Practice address
- 1 Financial Plaza, 100 SE Third Avenue
Suite 1101
Fort Lauderdale, FL 33394 - Phone
- (954) 615-1700
- NPI assigned
- Sep 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stewart Gold
- Title
- Chief Legal Officer
- Phone
- (954) 615-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1 Financial Plaza, 100 SE Third Avenue
Suite 1101
Fort Lauderdale, FL 33394
Mailing address
1 Financial Plaza Suite 1101
100 SE Third Avenue Suite 1101
Ft. Lauderdale, FL 33394
Phone (954) 615-1700
Other names 1
- Palm Beach Detox
National Provider Directory
National Provider DirectoryLocations
100 SE 3rd Ave
Ste 1101
Ft Lauderdale, FL 33394
Phone (954) 615-1700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416787200000",
"number": "1922400928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FINANCIAL PLAZA SUITE 1101",
"address_2": "100 SE THIRD AVENUE SUITE 1101",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "33394",
"telephone_number": "954-615-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FINANCIAL PLAZA, 100 SE THIRD AVENUE",
"address_2": "SUITE 1101",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33394",
"telephone_number": "954-615-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM BEACH RECOVERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-22",
"last_updated": "2014-11-24",
"status": "A",
"authorized_official_last_name": "GOLD",
"authorized_official_first_name": "STEWART",
"authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
"authorized_official_telephone_number": "954-615-1700"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Palm Beach Detox",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.