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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUNRISE DETOX ORLANDO FL, LLC
NPI 1306787809
Community Based Residential Treatment Facility, Mental Illness in Orlando, FL

Active since April 01, 2026CLIA 10D2106507 · Waiver
2431 SAND LAKE RD, ORLANDO, FL 32809(855) 876-8648 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunrise Detox Orlando Fl, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE DETOX ORLANDO FL, LLC (NPI 1306787809) is a healthcare organization registered as a community based residential treatment facility, mental illness in Orlando, Florida and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Mathias Deutsch, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1306787809
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSUNRISE DETOX ORLANDO FL, LLC
Location Address2431 SAND LAKE RDOrlando, FL 32809-7641
Mailing AddressPo Box 1575Lakewood, NJ 08701-1018
Phone(855) 876-8648
Organization SubpartNo
Authorized OfficialMathias DeutschAuthorized Official · (732) 684-4749
Enumeration DateApril 1, 2026
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1306787809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
2431 SAND LAKE RD, Orlando, FL 32809
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2106507

Sunrise Detox Orlando LLC · Orlando, FL
Active · expires Dec 20, 2027
CLIA Number10D2106507
Laboratory TypeInpatient Detox/Resd.Sud
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorJorge Dorta Duque
Laboratory Phone(407) 857-6117
Laboratory LocationSunrise Detox Orlando LLC2431 West Sand Lake Road, Orlando, FL 32809
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MH AT ORLANDO LLC
Counselor (Mental Health)
2431 SAND LAKE RD
ORLANDO, FL 32809
Orange County (855) 876-8648
TYLER BASO
Counselor (Mental Health)
2431 SAND LAKE RD
ORLANDO, FL 32809
Orange County (407) 857-6117
ACU AT ORLANDO LLC
Acupuncturist
2431 SAND LAKE RD
ORLANDO, FL 32809
Orange County (855) 876-8648
MR. BRANDON THANH NGUYEN
Counselor (Addiction (Substance Use Disorder))
2431 SAND LAKE RD
ORLANDO, FL 32809
Orange County (407) 305-4029
LAUREN VAN EXEL
Counselor (Addiction (Substance Use Disorder))
2431 SAND LAKE RD
ORLANDO, FL 32809
Orange County (407) 554-9692
MICHELLE LENA SLOCUM
Counselor (Addiction (Substance Use Disorder))
2431 SAND LAKE RD
ORLANDO, FL 32809
Orange County (407) 857-6117
JWERL HOWARD
Counselor (Mental Health)
2431 SAND LAKE RD
ORLANDO, FL 32809
Orange County (407) 857-6117
ORLANDO DIAGNOSTICS LLC
Clinical Medical Laboratory
2431 SAND LAKE RD
ORLANDO, FL 32809
Orange County (855) 876-8648

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunrise Detox Orlando Fl, LLC's NPI number?

The NPI number for Sunrise Detox Orlando Fl, LLC is 1306787809. It was assigned to this organization in the NPPES registry on April 1, 2026.

Where is Sunrise Detox Orlando Fl, LLC located?

Sunrise Detox Orlando Fl, LLC is located at 2431 Sand Lake Rd, Orlando, FL 32809. The listed phone number is (855) 876-8648.

What is Sunrise Detox Orlando Fl, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Sunrise Detox Orlando Fl, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2106507) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunrise Detox Orlando Fl, LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.