Healthcare Provider Details

I. General information

NPI: 1528711348
Provider Name (Legal Business Name): HEALTH PLANNING COUNCIL OF SOUTHWEST FLORIDA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4630 17TH ST
SARASOTA FL
34235-1843
US

IV. Provider business mailing address

12220 TOWNE LAKE DR STE 1
FORT MYERS FL
33913-8021
US

V. Phone/Fax

Practice location:
  • Phone: 239-433-6700
  • Fax:
Mailing address:
  • Phone: 239-433-6700
  • Fax: 239-433-6706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNA MARIE PEDRAZA
Title or Position: DATA ANALYST
Credential:
Phone: 239-433-6700