Provider Demographics
NPI:1427705011
Name:SOUTH FLORIDA SERVICES AND SUPPORT INC
Entity type:Organization
Organization Name:SOUTH FLORIDA SERVICES AND SUPPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ASTACIO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-968-7479
Mailing Address - Street 1:17371 SW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5530
Mailing Address - Country:US
Mailing Address - Phone:305-968-7479
Mailing Address - Fax:
Practice Address - Street 1:17371 SW 18TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5530
Practice Address - Country:US
Practice Address - Phone:305-968-7479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty