Healthcare Provider Details

I. General information

NPI: 1285816660
Provider Name (Legal Business Name): SAPPHIRE HEALTH CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 TEQUESTA DR STE# E11
JUPITER FL
33469-2768
US

IV. Provider business mailing address

169 TEQUESTA DR STE# E11
JUPITER FL
33469-2768
US

V. Phone/Fax

Practice location:
  • Phone: 954-367-1466
  • Fax:
Mailing address:
  • Phone: 954-367-1466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: GUILLERMO A. RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 954-367-1466