Provider Demographics
NPI:1801299060
Name:ARC OF SOUTH FLORIDA
Entity type:Organization
Organization Name:ARC OF SOUTH FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:ELISA
Authorized Official - Last Name:FIGUEIRAS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:305-607-3863
Mailing Address - Street 1:19110 SW 121ST AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-3907
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:756 W PALM DR
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-3224
Practice Address - Country:US
Practice Address - Phone:305-246-3530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency