Provider Demographics
NPI:1881268266
Name:SERAPHIN, SANDRINA
Entity type:Individual
Prefix:
First Name:SANDRINA
Middle Name:
Last Name:SERAPHIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 NE 125TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5008
Mailing Address - Country:US
Mailing Address - Phone:954-900-8348
Mailing Address - Fax:
Practice Address - Street 1:1175 NE 125TH ST STE 201
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5008
Practice Address - Country:US
Practice Address - Phone:954-900-8348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW218231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL119534900Medicaid