Healthcare Provider Details

I. General information

NPI: 1275118028
Provider Name (Legal Business Name): DEVELOPMENTAL IMPROVEMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 12/19/2025
Certification Date: 11/07/2025
Deactivation Date: 12/15/2025
Reactivation Date: 12/19/2025

III. Provider practice location address

4900 S UNIVERSITY DR STE 207D
DAVIE FL
33328-3811
US

IV. Provider business mailing address

4900 S UNIVERSITY DR STE 207D
DAVIE FL
33328-3811
US

V. Phone/Fax

Practice location:
  • Phone: 305-903-5867
  • Fax:
Mailing address:
  • Phone: 305-903-5867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISET RODRIGUEZ
Title or Position: MANAGER
Credential:
Phone: 305-903-5867