Provider Demographics
NPI:1083506455
Name:IDIT SHARONI LLC
Entity type:Organization
Organization Name:IDIT SHARONI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARONI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:305-507-9955
Mailing Address - Street 1:7370 NW 17TH CT
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-1000
Mailing Address - Country:US
Mailing Address - Phone:305-507-9955
Mailing Address - Fax:
Practice Address - Street 1:7370 NW 17TH CT
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-1000
Practice Address - Country:US
Practice Address - Phone:305-507-9955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty