SOFLO PSYCHIATRIC SERVICES LLC (NPI# 1578113049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578113049 |
| Entity Type | Organization |
| Organization Name | SOFLO PSYCHIATRIC SERVICES LLC |
| Practice Address |
9960 Central Park Blvd N Boca Raton FL 33428-1759 |
| Mailing Address |
11997 N Lake Dr Boynton Beach FL 33436-5571 |
| Practice Telephone | 5614830844 |
| Practice Fax Number | 5614833342 |
| Mailing Telephone | 5616013769 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | JENIFER DEYOE (APRN) |
| Authorized Official Telephone | 5616013769 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9960 CENTRAL PARK BLVD N |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904905 | Bruce W. Phillips | Radiology | 9960 Central Park Blvd N, Suite 100, Boca Raton, FL 33428-1759 | 2005-07-05 |
| 1558825463 | Alien R Perez Sr. | Nurse Practitioner | 9960 Central Park Blvd N, Boca Raton, FL 33428-1759 | 2019-01-24 |
| 1073979274 | Lezlie Ludwig Brezin | Social Worker | 9960 Central Park Blvd N, Boca Raton, FL 33428-1759 | 2016-01-05 |
| 1376843565 | Angela Beth Rohrbaugh | Nurse Practitioner | 9960 Central Park Blvd N, Suite 450, Boca Raton, FL 33428-1759 | 2010-10-22 |
| 1598902033 | Cancer Treatment Services Florida LLC | Clinic/Center | 9960 Central Park Blvd N, Suite 100, Boca Raton, FL 33428-1759 | 2009-01-20 |
| 1053566679 | Michelle Beth Sukenik | Counselor | 9960 Central Park Blvd N, Suite 235, Boca Raton, FL 33428-1759 | 2008-11-24 |
| 1316190507 | Sonia Micaela Gibson | Internal Medicine | 9960 Central Park Blvd N, Suite 150a, Boca Raton, FL 33428-1759 | 2008-10-31 |
| 1205013620 | Kahlil A Shillingford Md Pa | Surgery | 9960 Central Park Blvd N, Suite 235, Boca Raton, FL 33428-1759 | 2008-01-28 |
| 1205058047 | Sol Virginia Guerrero | Internal Medicine | 9960 Central Park Blvd N, Suite 150, Boca Raton, FL 33428-1759 | 2007-05-02 |
| 1306936745 | Priti M Kothari | Psychiatry & Neurology | 9960 Central Park Blvd N, Ste. 235, Boca Raton, FL 33428-1759 | 2006-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543285 | Rebecca Lucille Saylor | Nurse Practitioner | 150 W Key Palm Rd, Boca Raton, FL 33432-7998 | 2020-09-16 |
| 1942818588 | Chelsea Schwartz | Nurse Practitioner | 7280 W Palmetto Park Rd Ste 105, Boca Raton, FL 33433-3401 | 2020-07-20 |
| 1891327615 | Jorge R Padron | Nurse Practitioner | 500 Ne Spanish River Blvd Ste 102, Boca Raton, FL 33431-4500 | 2020-02-10 |
| 1982068011 | Janet Platt Raines | Nurse Practitioner | 21449 Fairfield Ln, Boca Raton, FL 33486-1424 | 2016-04-05 |
| 1437401486 | Ruth Lynn Gaines | Nurse Practitioner | 5573 Pacific Blvd, #3512, Boca Raton, FL 33433-6752 | 2012-10-15 |
| 1124299441 | Successful Healthcare Solutions Inc | Nurse Practitioner | 5580 Coach House Cir, #d, Boca Raton, FL 33486-8653 | 2008-03-13 |
| 1982705018 | Janet R. Leathem | Nurse Practitioner | 5749 Camino Del Sol, Suite 206, Boca Raton, FL 33433-6564 | 2006-09-25 |
| 1073147674 | J.r.p Psychiatry | Nurse Practitioner | 500 Ne Spanish River Blvd Ste 102, Boca Raton, FL 33431-4500 | 2020-02-24 |
| 1902994510 | Valerie Kolbert | Nurse Practitioner | 500 Ne Spanish River Blvd, Suite 102, Boca Raton, FL 33431-4515 | 2006-10-10 |
| 1275628760 | Mary Jeanne Groesbeck | Nurse Practitioner | 2385 Nw Executive Center Dr, Ste 100, Boca Raton, FL 33431-8579 | 2006-10-03 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
Please comment or provide details below to improve the information on SOFLO PSYCHIATRIC SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.