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SARDONYX GROUP THERAPY INC NPI 1477089274


NPI Information

NPI: 1477089274
Provider Name: SARDONYX GROUP THERAPY INC

Doing Business As: CHILDREN'S WORLD THERAPY

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
4320 W BROWARD BLVD STE 4
PLANTATION, FL
ZIP 33317
Phone: (954) 266-9013
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SARDONYX GROUP THERAPY INC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Plantation, FL. SARDONYX GROUP THERAPY INC NPI is 1477089274. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's World Therapy.

The provider's business location address is:

4320 W BROWARD BLVD STE 4
PLANTATION, FL
ZIP 33317-756
Phone: (954) 266-9013
Fax: (855) 941-2537

The provider's authorized official is Shavonne Kristine Brown-o'meally .
The authorized official title is President and has the following contact phone number (954) 266-9013.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 5/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1016647600MEDICAIDFLORIDA
2023552400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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