Provider Demographics
NPI:1720546708
Name:THORNTON, SADE (FLORIDA EARLY CHILDH)
Entity Type:Individual
Prefix:
First Name:SADE
Middle Name:
Last Name:THORNTON
Suffix:
Gender:F
Credentials:FLORIDA EARLY CHILDH
Other - Prefix:
Other - First Name:NA
Other - Middle Name:
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EARLY CHILDHOOD PROF
Mailing Address - Street 1:1214 NW 62 LANE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147
Mailing Address - Country:US
Mailing Address - Phone:565-618-1981
Mailing Address - Fax:
Practice Address - Street 1:1214 NW 62 LANE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147
Practice Address - Country:US
Practice Address - Phone:565-618-1981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-07
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty