Healthcare Provider Details

I. General information

NPI: 1700792918
Provider Name (Legal Business Name): AGUNIK SARKISIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8177 GLADES RD STE 202
BOCA RATON FL
33434-4022
US

IV. Provider business mailing address

9657 CAROUSEL CIR N
BOCA RATON FL
33434-3922
US

V. Phone/Fax

Practice location:
  • Phone: 561-270-4433
  • Fax:
Mailing address:
  • Phone: 561-558-7440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8646
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: