Healthcare Provider Details

I. General information

NPI: 1609730456
Provider Name (Legal Business Name): FAMILY VISITATION & SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 W OAKLAND PARK BLVD STE B102
SUNRISE FL
33351-6741
US

IV. Provider business mailing address

7800 W OAKLAND PARK BLVD STE B102
SUNRISE FL
33351-6741
US

V. Phone/Fax

Practice location:
  • Phone: 954-999-0541
  • Fax: 954-999-0612
Mailing address:
  • Phone: 954-999-0541
  • Fax: 954-999-0612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: VIRGINIA GADDIS
Title or Position: OWNER
Credential:
Phone: 305-209-9788