Healthcare Provider Details

I. General information

NPI: 1730099326
Provider Name (Legal Business Name): SDS HEALTH LLC
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

300 NW 70TH AVE STE 100
PLANTATION FL
33317-2360
US

IV. Provider business mailing address

300 NW 70TH AVE STE 100
PLANTATION FL
33317-2360
US

V. Phone/Fax

Practice location:
  • Phone: 954-581-1999
  • Fax: 954-301-3833
Mailing address:
  • Phone: 954-581-1999
  • Fax: 954-301-3833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: BARAK MERAZ
Title or Position: OWNER
Credential:
Phone: 954-980-5483