Provider Demographics
NPI:1346255171
Name:SIGHTLINEWORKS LLC
Entity Type:Organization
Organization Name:SIGHTLINEWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBOLSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-353-2100
Mailing Address - Street 1:601 S. FEDERAL HWY
Mailing Address - Street 2:SUITE 303A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5548
Mailing Address - Country:US
Mailing Address - Phone:561-353-2100
Mailing Address - Fax:561-244-6071
Practice Address - Street 1:601 S. FEDERAL HWY
Practice Address - Street 2:SUITE 303A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5548
Practice Address - Country:US
Practice Address - Phone:561-353-2100
Practice Address - Fax:561-244-6071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992249251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108252Medicare UPIN