Provider Demographics
NPI:1871196022
Name:SUNSPIRE HEALTH FLORIDA, LLC
Entity Type:Organization
Organization Name:SUNSPIRE HEALTH FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
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 350
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1622
Mailing Address - Country:US
Mailing Address - Phone:786-373-8899
Mailing Address - Fax:
Practice Address - Street 1:56 E PINE ST STE 300&301
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2618
Practice Address - Country:US
Practice Address - Phone:407-255-2351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNSPIRE HEALTH FLORIDA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility