Healthcare Provider Details

I. General information

NPI: 1538739313
Provider Name (Legal Business Name): CAN COMMUNITY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 N TUTTLE AVE
SARASOTA FL
34237-3116
US

IV. Provider business mailing address

PO BOX 1000 DEPT 394
MEMPHIS TN
38148-1926
US

V. Phone/Fax

Practice location:
  • Phone: 941-366-0134
  • Fax: 866-622-3009
Mailing address:
  • Phone: 941-300-4440
  • Fax: 941-404-1760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: RISHI B PATEL
Title or Position: PRESIDENT & CEO
Credential:
Phone: 941-300-4440