Organization
FUNCTIONAL INTEGRATIVE THERAPY CLINIC, INC.
Active
Organization
FUNCTIONAL INTEGRATIVE THERAPY CLINIC, INC.
Active
Other names
FIT FOR KIDS
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SANFORD (OWNER)
(305) 949-7665
Entity
Organization
Contact information
Practice address
1868 NE 164TH ST, NORTH MIAMI BEACH, FL 33162-4110
(305) 949-7665
Mailing address
1868 NE 164TH ST, NORTH MIAMI BEACH, FL 33162-4110
(305) 949-7665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X1593
BCBS FL
FL
Enumeration date
09/23/2006
Last updated
09/11/2025
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