Healthcare Provider Details
I. General information
NPI: 1922353515
Provider Name (Legal Business Name): SOUTH FLORIDA PSYCHIATRIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/19/2012
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2421 HOLLYWOOD BLVD STE 2
HOLLYWOOD FL
33020-6605
US
IV. Provider business mailing address
2421 HOLLYWOOD BLVD STE 2
HOLLYWOOD FL
33020-6605
US
V. Phone/Fax
- Phone: 954-962-6200
- Fax: 954-962-5495
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANTONIO
F
DEFILIPPO
Title or Position: PRESIDENT
Credential: MD
Phone: 954-962-6200