Provider Demographics
NPI:1285086413
Name:SOPHIES ANGEL CARE INC
Entity type:Organization
Organization Name:SOPHIES ANGEL CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATEO
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-993-6299
Mailing Address - Street 1:8909 REGENTS PARK DR
Mailing Address - Street 2:SUITE 420
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3433
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8909 REGENTS PARK DR
Practice Address - Street 2:SUITE 420
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3433
Practice Address - Country:US
Practice Address - Phone:813-693-7989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health