Healthcare Provider Details

I. General information

NPI: 1235265612
Provider Name (Legal Business Name): COMPREHENSIVE CHILDCARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 11/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 CATTLEMEN RD SUITE 600
SARASOTA FL
34232-6243
US

IV. Provider business mailing address

2020 CATTLEMEN RD SUITE 600
SARASOTA FL
34232-5284
US

V. Phone/Fax

Practice location:
  • Phone: 941-955-5191
  • Fax: 941-366-7582
Mailing address:
  • Phone: 941-955-5191
  • Fax: 941-366-7582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: D SCOTT FEATHERMAN
Title or Position: DOCTOR OWNER
Credential: M.D., F.A.A.P
Phone: 941-955-5191