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NPI Code Detail

MEDICARE: PHAROS GROUP, LLC

MEDICARE: PHAROS GROUP, 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
1323P00000XPsychiatric Residential Treatment Facility
2324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1972211456
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHAROS GROUP, LLC
Provider Business Mailing Address
First Line : 1431 SW 9TH AVE
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-6220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4841 NE 20TH AVE
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33308-4513
Country : US
Telephone Number : 954-284-0495
Fax Number :
Authorized Official
Title or Position : CFO
Name : SCOTT SARNACKE
Credential :
Telephone Number : 615-864-8154
Provider Enumeration Date : 11/14/2022
Last Update Date : 05/14/2024

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Directions to “PHAROS GROUP, LLC ” Practice Location

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