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NPI Code Detail

MEDICARE: SPHERE MIND OF FLORIDA LLC

MEDICARE: SPHERE MIND OF FLORIDA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1114872264
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPHERE MIND OF FLORIDA LLC
Provider Business Mailing Address
First Line : 16690 COLLINS AVE STE 1102
Second Line :
City : SUNNY ISLES BEACH
State : FL
Zip : 33160-5687
Country : US
Telephone Number : 480-310-1534
Fax Number : 480-314-9494
Provider Business Practice Location Address
First Line : 16690 COLLINS AVE STE 1102
Second Line :
City : SUNNY ISLES BEACH
State : FL
Zip : 33160-5687
Country : US
Telephone Number : 480-310-1534
Fax Number : 480-314-9494
Authorized Official
Title or Position : CFO
Name : MR. RICHARD SHAPIRO
Credential : CPA
Telephone Number : 480-310-1534
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “SPHERE MIND OF FLORIDA LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.