New Roads Florida LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Fort Lauderdale, FL. Organization (NPI-2).
Details
- NPI
- 1124440375
- Entity type
- Organization (NPI-2)
- Legal business name
- New Roads Florida LLC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2014
- Last updated
- Jan 7, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Practice location
12 Se 12th StFort Lauderdale, FL 33316-1845
Phone 954-635-2721
Mailing address
230 W Towne Ridge PkwySuite 225
Sandy, UT 84070-2005
Authorized official
Matthew Luchini
Account Manager
9285334220
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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