Provider Demographics
NPI:1144834425
Name:CLAUDE, SIBYLLE (LMT)
Entity type:Individual
Prefix:
First Name:SIBYLLE
Middle Name:
Last Name:CLAUDE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 GREENVIEW TER W
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-9320
Mailing Address - Country:US
Mailing Address - Phone:754-214-0468
Mailing Address - Fax:
Practice Address - Street 1:9825 W SAMPLE RD STE 204
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4040
Practice Address - Country:US
Practice Address - Phone:754-214-0468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL38851225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist