AGAPE ADVANCED INTEGRATIVE MEDICINE LLC – NPI #1275073488
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

AGAPE ADVANCED INTEGRATIVE MEDICINE LLC is a substance abuse rehabilitation facility located in WILTON MANORS, FL. NPPES has assigned the NPI number 1275073488 to AGAPE ADVANCED INTEGRATIVE MEDICINE LLC on March 07, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Apr 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGAPE ADVANCED INTEGRATIVE MEDICINE LLC below.

NPI Profile for
AGAPE ADVANCED INTEGRATIVE MEDICINE LLC

NPI Number
1275073488
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AGAPE ADVANCED INTEGRATIVE MEDICINE LLC
Primary location
1601 NE 26TH ST
WILTON MANORS, FL 33305-1410
Phone: (888) 981-9107 Fax:
Mailing address
1164 E OAKLAND PARK BLVD STE 101
OAKLAND PARK, FL 33334-2709
Phone: (754) 200-4373 Fax:
Organization Subpart
No
Authorized Official
GEORGE MAVROOKAS
OWNER
Phone: (754) 200-4373
Updated
Certification Date
Apr 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 FL 0601
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder		 FL 0618128360001

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.