OrganizationActive
Coral Bay Recovery LLC
NPI 1003313131 · Substance Use Disorder Rehabilitation Clinic/Center · Lighthouse Point, FL
Provider details
- NPI number
- 1003313131
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Jacobson, Ceo(954) 552-5100
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3170 N Federal Hwy Ste 206e
Lighthouse Point, FL 33064-6720
Phone: (754) 444-1458
Approximate (ZIP-level) locationGet directions
Mailing address
3170 N Federal Hwy Ste 204a
Lighthouse Point, FL 33064-6736
Registry dates
- Enumerated
- 2018-04-05
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.