Provider Demographics
NPI:1306404025
Name:SOFLO ANGELS THERAPY
Entity Type:Organization
Organization Name:SOFLO ANGELS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIARIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-629-6497
Mailing Address - Street 1:5340 SW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-4333
Mailing Address - Country:US
Mailing Address - Phone:954-629-6497
Mailing Address - Fax:
Practice Address - Street 1:5340 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-4333
Practice Address - Country:US
Practice Address - Phone:954-629-6497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty