Provider Demographics
NPI:1619562162
Name:SUNFLOWER THERAPY INC
Entity Type:Organization
Organization Name:SUNFLOWER THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN CHIRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-395-5178
Mailing Address - Street 1:1930 N COMMERCE PKWY STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3244
Mailing Address - Country:US
Mailing Address - Phone:305-922-8688
Mailing Address - Fax:
Practice Address - Street 1:1930 N COMMERCE PKWY STE 3
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3244
Practice Address - Country:US
Practice Address - Phone:305-922-8688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-06
Last Update Date:2021-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health