NPI Code Detail JSON Logo

1396363792 NPI number — SOUTH FLORIDA BBF INC

NPI Number: 1396363792
Health Care Provider/Practitioner: SOUTH FLORIDA BBF INC

Information about “1396363792” NPI (SOUTH FLORIDA BBF INC) exists in 1396363792 in HTML format HTML  |  1396363792 in plain Text format TXT  |  1396363792 in PDF (Portable Document Format) PDF  |  1396363792 in an XML format XML  formats.

NPI Number : 1396363792 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396363792",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SOUTH FLORIDA BBF INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2335 E ATLANTIC BLVD STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POMPANO BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33062-5244",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-715-3109",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2335 E ATLANTIC BLVD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POMPANO BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33062-5244",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-532-2195",
    "PracticeLocationAddressFaxNumber": "305-564-8831",
    "EnumerationDate": "07/12/2020",
    "LastUpdateDate": "09/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PADRON",
    "AuthorizedOfficialFirstName": "SOLANGEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "BCBA",
    "AuthorizedOfficialTelephoneNumber": "549-532-2195",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.