Organization
CENTER FOR INDEPENDENT LIVING OF SOUTH FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER O'CONNELL (CEO)
(305) 751-8025
Entity
Organization
Contact information
Practice address
4770 BISCAYNE BLVD. SUITE 150, MIAMI, FL 33137
(305) 751-8025
(305) 751-8944
Mailing address
4770 BISCAYNE BLVD. SUITE 150, MIAMI, FL 33137
(305) 751-8025
(305) 751-8944
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
681792196
FL
251C00000X
Developmentally Disabled Services Day Training Agency
681792198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681792196
—
FL
05
—
681792198
—
FL
Enumeration date
01/02/2007
Last updated
04/24/2019
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