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Organization
SUCCESS FOR KIDS LLC
Active
Organization
SUCCESS FOR KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA M DAVID OTR (OCCUPATIONAL THERAPIST/ OWNER)
(954) 865-3705
Entity
Organization
Contact information
Practice address
1636 NW 5TH AVE, FORT LAUDERDALE, FL 33311-5508
(954) 865-3705
(954) 337-0141
Mailing address
1636 NW 5TH AVE, FORT LAUDERDALE, FL 33311-5508
(954) 865-3705
(954) 337-0141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11518
FL
252Y00000X
Early Intervention Provider Agency
OT11518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010042600
—
FL
05
—
891985200
—
FL
Enumeration date
01/09/2015
Last updated
09/09/2016
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