G SARLIS GROUP INC DBA SELF360 NPI 1912836982

NPI Information

  • NPI: 1912836982
  • Provider Name: G SARLIS GROUP INC DBA SELF360
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 10D2333546
  • Address: 150 NW 70TH AVE STE 10
    PLANTATION, FL
    ZIP 33317
  • Phone: (954) 302-4373

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NPI Details

G SARLIS GROUP INC DBA SELF360 is a primary care nurse practitioner in Plantation, FL. G SARLIS GROUP INC DBA SELF360 NPI is 1912836982. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 NW 70TH AVE STE 10
PLANTATION, FL
ZIP 33317-911
Phone: (954) 302-4373

The provider's authorized official is Glenda Sarli .
The authorized official title is Owner and has the following contact phone number (786) 252-3353.

The CLIA number assigned to this NPI record is 10D2333546 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2026 and was last updated on 5/15/2026.

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
1363LP2300XNurse PractitionerPrimary CareYes

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: 11/21/2025

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