Provider Demographics
NPI:1073682589
Name:THERAPARTNERS OF SOUTH FLORIDA
Entity Type:Organization
Organization Name:THERAPARTNERS OF SOUTH FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:AMERICO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-595-2590
Mailing Address - Street 1:9350 SUNSET DR
Mailing Address - Street 2:SUITE 100 BUILDING 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3286
Mailing Address - Country:US
Mailing Address - Phone:305-595-2590
Mailing Address - Fax:305-595-3746
Practice Address - Street 1:9350 SUNSET DR
Practice Address - Street 2:SUITE 100 BUILDING 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3286
Practice Address - Country:US
Practice Address - Phone:305-595-2590
Practice Address - Fax:305-595-3746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty