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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