| Organization Name: | FLORIDA INSTITUTE FOR RECOVERY AND SEX THERAPY |
| NPI Number: | 1114187937 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN A JAMIESON (PRESIDENT) |
| Mailing Address: | 2424 Wilton Dr Wilton Manors |
| State: | FL US |
| Postal Code: | 333051251 |
| Phone Number: | 9545636563 |
| Fax Number: | 9542061444 |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 06/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW1531 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |