Organization
SARDONYX GROUP THERAPY INC
Active
Other names
Children's World Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONNE KRISTINE BROWN-O'MEALLY (PRESIDENT)
(954) 266-9013
Entity
Organization
Contact information
Practice address
4320 W BROWARD BLVD STE 4, PLANTATION, FL 33317-3756
(954) 266-9013
(855) 941-2537
Mailing address
4320 W BROWARD BLVD STE 4, PLANTATION, FL 33317-3756
(954) 266-9013
(786) 257-5686
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016647600
—
FL
05
—
023552400
—
FL
Enumeration date
05/11/2017
Last updated
05/06/2021
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