Provider Demographics
NPI:1588366991
Name:SOUTH FLORIDA PSYCHIATRY GROUP, PA
Entity type:Organization
Organization Name:SOUTH FLORIDA PSYCHIATRY GROUP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:L
Authorized Official - Last Name:SARDUY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:786-637-0907
Mailing Address - Street 1:8950 SW 74TH CT STE 2201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3181
Mailing Address - Country:US
Mailing Address - Phone:786-637-0907
Mailing Address - Fax:305-503-7338
Practice Address - Street 1:8950 SW 74TH CT STE 2201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3181
Practice Address - Country:US
Practice Address - Phone:786-637-0907
Practice Address - Fax:305-503-7338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty