Provider Demographics
NPI:1619308756
Name:SUNSPIRE HEALTH FLORIDA, LLC
Entity Type:Organization
Organization Name:SUNSPIRE HEALTH FLORIDA, LLC
Other - Org Name:WHITE SANDS OF HYDE PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER / GENERAL COUNSEL
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:954-534-6356
Mailing Address - Fax:
Practice Address - Street 1:215 W VERNE ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2324
Practice Address - Country:US
Practice Address - Phone:813-337-0234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health