Healthcare Provider Details

I. General information

NPI: 1326958927
Provider Name (Legal Business Name): SOUTH FLORIDA COMMUNITY KEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2679 SW 99TH WAY
MIRAMAR FL
33025-5076
US

IV. Provider business mailing address

2679 SW 99TH WAY
MIRAMAR FL
33025-5076
US

V. Phone/Fax

Practice location:
  • Phone: 954-400-9569
  • Fax:
Mailing address:
  • Phone: 954-400-9569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VERONICA SALAS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 954-400-9569