1568937894 NPI number — D'MORFFI FAMILY SERVICES, L.L.C

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568937894 NPI number — D'MORFFI FAMILY SERVICES, L.L.C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
D'MORFFI FAMILY SERVICES, L.L.C
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568937894
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10760 BRUNELLO PL APT 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WELLINGTON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33414-9409
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-718-3723
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13475 SOUTHERN BLVD STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOXAHATCHEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33470-9233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-603-7768
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2018

Additional Information

Authorized Official

Authorized Official Last Name:
DIAZ MORFFI
Authorized Official First Name:
YANET
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO PSYCHIATRIST
Authorized Official Telephone Number:
786-718-3723

Provider Taxonomy Codes

  • Taxonomy code: 2084P0804X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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