Healthcare Provider Details

I. General information

NPI: 1972244085
Provider Name (Legal Business Name): CLEVER KIDS THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BOWEN DR STE 1
KEY LARGO FL
33037-2902
US

IV. Provider business mailing address

100670 OVERSEAS HWY
KEY LARGO FL
33037-2561
US

V. Phone/Fax

Practice location:
  • Phone: 845-282-9620
  • Fax:
Mailing address:
  • Phone:
  • Fax: 786-901-8353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EYLEEN ORTIZ
Title or Position: CEO
Credential:
Phone: 845-282-9620