Healthcare Provider Details
I. General information
NPI: 1588366991
Provider Name (Legal Business Name): SOUTH FLORIDA PSYCHIATRY GROUP, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2023
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8950 SW 74TH CT STE 1906
MIAMI FL
33156-3178
US
IV. Provider business mailing address
8950 SW 74TH CT STE 2201
MIAMI FL
33156-3181
US
V. Phone/Fax
- Phone: 305-842-2283
- Fax: 305-503-7338
- Phone: 786-637-0907
- Fax: 305-503-7338
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERNESTO
L
SARDUY
Title or Position: CEO/FOUNDER
Credential: DNP
Phone: 305-842-2283