MEDICARE: SANITAS GROUP INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center	HCC5847	FL

General Provider Information

NPI Number	:	1790848943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANITAS GROUP INC.

Provider Business Mailing Address
First Line	:	2311 10TH AVE N
Second Line	:	SUITE 14
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-6605
Country	:	US
Telephone Number	:	561-540-4446
Fax Number	:	561-540-4430

Provider Business Practice Location Address
First Line	:	2311 10TH AVE. NORTH
Second Line	:	SUITE 14
City	:	LAKE WORTH
State	:	FL
Zip	:	33461
Country	:	US
Telephone Number	:	561-540-4446
Fax Number	:	561-540-4430

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT RODRIGUEZ
Credential	:
Telephone Number	:	561-540-4446

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	08/22/2020

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