Healthcare Provider Details
I. General information
NPI: 1396511598
Provider Name (Legal Business Name): SYDNEY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2023
Last Update Date: 11/29/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
404 NW 68TH AVE APT 406
PLANTATION FL
33317-7596
US
IV. Provider business mailing address
6231 SW 32ND ST
MIRAMAR FL
33023-5001
US
V. Phone/Fax
- Phone: 954-832-2651
- Fax:
- Phone: 561-299-0773
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAPHNEY
CARTER
Title or Position: PRESIDENT
Credential: APRN
Phone: 954-832-2651