Healthcare Provider Details

I. General information

NPI: 1295873248
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF SOUTHWEST AND CENTRAL FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 01/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 S TAMPA AVE
ORLANDO FL
32805-3646
US

IV. Provider business mailing address

736 CENTRAL AVE
SARASOTA FL
34236-4042
US

V. Phone/Fax

Practice location:
  • Phone: 407-246-1788
  • Fax: 407-246-8466
Mailing address:
  • Phone: 941-365-3913
  • Fax: 941-296-7806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License NumberME96883
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberFM3429342
License Number StateFL

VIII. Authorized Official

Name: MS. PAULINE PARRISH
Title or Position: VICE PRESIDENT & CFO
Credential:
Phone: 941-365-3913