Healthcare Provider Details

I. General information

NPI: 1679997233
Provider Name (Legal Business Name): CHILDRENS THERAPY & FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2014
Last Update Date: 02/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 SW 8TH ST SUITE 221A
MIAMI FL
33144-4263
US

IV. Provider business mailing address

8150 SW 8TH ST SUITE 221A
MIAMI FL
33144-4263
US

V. Phone/Fax

Practice location:
  • Phone: 305-265-8232
  • Fax: 305-265-8233
Mailing address:
  • Phone: 305-265-8232
  • Fax: 305-265-8233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DAISY FLORES
Title or Position: MGR
Credential:
Phone: 305-265-8232