OrganizationActive
Irecovery, LLC
NPI 1013580398 · Addiction Medicine (Family Medicine) Physician · Fort Myers, FL
Provider details
- NPI number
- 1013580398
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Irecovery, LLC
- Organization subpart
- Yes
- Authorized official
- Mildred Cintron, Credentialing Specialist(561) 235-7683
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12557 New Brittany Blvd Ste 3v-52
Fort Myers, FL 33907-3651
Phone: (239) 299-0322
Fax: (561) 464-5501
Street-level locationGet directions
Mailing address
5030 Champion Blvd Ste G11-535
Boca Raton, FL 33496-2473
Other names (DBA / former)
- Doing business as
- Irecoveryusa
Registry dates
- Enumerated
- 2021-07-23
- Last updated
- 2023-02-24
- Certified
- 2023-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.