Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tides Edge Recovery Services, LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1891529871

Tides Edge Recovery Services, LLC is a Substance Abuse Rehabilitation Facility in Jacksonville Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

142 11th Ave N Ste A
Jacksonville Beach, FL 32250-7224
Phone: (904) 685-9083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1891529871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Yost — Vice President · (904) 778-6161
NPI enumeratedAugust 30, 2024
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address75 12th St S, Jacksonville, FL 32250-3422

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