Centerplace Health, Inc. | |
1750 17th St Ste N Sarasota FL 34234-8690 | |
(941) 529-0200 | |
Not Available |
Full Name | Centerplace Health, Inc. |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1750 17th St Ste N, Sarasota, Florida |
Authorized Official Name and Position | Christa Sue Carter (FINANCIAL CONTROLLER) |
Authorized Official Contact | 9415290243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Centerplace Health, Inc. 1750 17th St Ste N Sarasota FL 34234-8690 Ph: (941) 529-0200 | Centerplace Health, Inc. 1750 17th St Ste N Sarasota FL 34234-8690 Ph: (941) 529-0200 |
NPI Number | 1053984351 |
---|---|
Provider Enumeration Date | 07/23/2021 |
Last Update Date | 07/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053984351 | NPI | - | NPPES |
025148207 | Medicaid | FL | |
025148206 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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