Healthcare Provider Details

I. General information

NPI: 1619308756
Provider Name (Legal Business Name): SUNSPIRE HEALTH FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2013
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W VERNE ST
TAMPA FL
33606-2324
US

IV. Provider business mailing address

PO BOX 735341
DALLAS TX
75373-5341
US

V. Phone/Fax

Practice location:
  • Phone: 813-337-0234
  • Fax:
Mailing address:
  • Phone: 954-281-3796
  • Fax: 954-281-3796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID LEE HATTON
Title or Position: MANAGER / GENERAL COUNSEL
Credential:
Phone: 786-373-8899