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Organization
SPHINX WELLNESS INC
Active
Organization
SPHINX WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ONSI N DERIAS PT (PRESIDENT)
(352) 307-6843
Entity
Organization
Contact information
Practice address
10935 SE 177TH PL, SUITE 406, SUMMERFIELD, FL 34491-8975
(352) 307-6843
(352) 307-9308
Mailing address
PO BOX 1568, LADY LAKE, FL 32158-1568
(352) 307-6843
(352) 307-9308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8906394
—
FL
Enumeration date
09/29/2006
Last updated
12/01/2015
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