Healthcare Provider Details

I. General information

NPI: 1295878742
Provider Name (Legal Business Name): THE FLORIDA CENTER FOR EARLY CHILDHOOD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 17TH ST
SARASOTA FL
34235-1843
US

IV. Provider business mailing address

4620 17TH ST
SARASOTA FL
34235-1843
US

V. Phone/Fax

Practice location:
  • Phone: 941-371-8820
  • Fax: 941-377-3194
Mailing address:
  • Phone: 941-371-8820
  • Fax: 941-378-0611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberITDS
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARMIAN MILLER
Title or Position: CFO
Credential:
Phone: 941-371-8820