Healthcare Provider Details

I. General information

NPI: 1093698037
Provider Name (Legal Business Name): SENTINEL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2454 N MCMULLEN BOOTH RD
CLEARWATER FL
33759-1353
US

IV. Provider business mailing address

2454 N MCMULLEN BOOTH RD STE 700
CLEARWATER FL
33759-1363
US

V. Phone/Fax

Practice location:
  • Phone: 352-249-8211
  • Fax:
Mailing address:
  • Phone: 352-249-8211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ANDRES HERNANDEZ
Title or Position: CEO
Credential: AO
Phone: 352-249-8211