Provider Demographics
NPI:1487210381
Name:BROWARD RECOVERY CENTER LLC
Entity type:Organization
Organization Name:BROWARD RECOVERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-414-6189
Mailing Address - Street 1:2100 PARK CENTRAL BLVD N
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-2239
Mailing Address - Country:US
Mailing Address - Phone:561-414-6189
Mailing Address - Fax:
Practice Address - Street 1:2100 PARK CENTRAL BLVD N
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-2239
Practice Address - Country:US
Practice Address - Phone:561-414-6189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility