Organization Active NPI

Palm Beach Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
National Provider Identifier
1922400928
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Nov 24, 2014

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.