Provider Demographics
NPI:1063015220
Name:SUNSPIRE HEALTH FLORIDA, LLC
Entity Type:Organization
Organization Name:SUNSPIRE HEALTH FLORIDA, LLC
Other - Org Name:WHITESANDS ALCOHOL & DRUG REHAB ST. PETERSBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HATTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-373-8899
Mailing Address - Street 1:600 W HILLSBORO BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1610
Mailing Address - Country:US
Mailing Address - Phone:786-373-8899
Mailing Address - Fax:
Practice Address - Street 1:3959 58TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-6003
Practice Address - Country:US
Practice Address - Phone:727-201-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNSPIRE HEALTH FLORIDA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-19
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility