Provider Demographics
NPI:1700569928
Name:SAWGRASS HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:SAWGRASS HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:YVROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINTIL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:954-298-6716
Mailing Address - Street 1:7857 W SAMPLE RD STE 157
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4748
Mailing Address - Country:US
Mailing Address - Phone:954-298-6716
Mailing Address - Fax:
Practice Address - Street 1:7857 W SAMPLE RD STE 157
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4748
Practice Address - Country:US
Practice Address - Phone:954-298-6716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty