Healthcare Provider Details

I. General information

NPI: 1124559604
Provider Name (Legal Business Name): CSD FINANCIAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2017
Last Update Date: 03/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18350 NW 2ND AVE SUITE 401
MIAMI GARDENS FL
33169-4568
US

IV. Provider business mailing address

14600 NW 13TH AVE
MIAMI FL
33167-1134
US

V. Phone/Fax

Practice location:
  • Phone: 786-274-3864
  • Fax: 786-405-3096
Mailing address:
  • Phone: 786-274-3864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTELLE S DHAITI
Title or Position: CEO & PRESIDENT
Credential:
Phone: 786-274-3864