Provider Demographics
NPI:1811451578
Name:SOUTH FLORIDA AUTISM CHARTER SCHOOLS, INC.
Entity type:Organization
Organization Name:SOUTH FLORIDA AUTISM CHARTER SCHOOLS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOODIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-823-2700
Mailing Address - Street 1:18305 NW 75TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-2957
Mailing Address - Country:US
Mailing Address - Phone:305-823-2700
Mailing Address - Fax:305-823-2705
Practice Address - Street 1:3751 W 108TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-2218
Practice Address - Country:US
Practice Address - Phone:305-823-2700
Practice Address - Fax:305-823-2705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities