Basic Information
| Provider Information | |||||||||
| NPI: | 1902357692 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THERAPIES 4 KIDS, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2010 NW 150TH AVE STE 120 | ||||||||
| Address2: | |||||||||
| City: | PEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330282888 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544319838 | ||||||||
| FaxNumber: | 9542416726 | ||||||||
| Practice Location | |||||||||
| Address1: | 10261 PINES BLVD | ||||||||
| Address2: | |||||||||
| City: | PEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330266008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543562887 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2016 | ||||||||
| LastUpdateDate: | 04/06/2021 | ||||||||
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| AuthorizedOfficialLastName: | DE OLIVEIRA | ||||||||
| AuthorizedOfficialFirstName: | EILEEN | ||||||||
| AuthorizedOfficialMiddleName: | SUE | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9546089930 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 04/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | OTA13974 | FL | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.