Healthcare Provider Details

I. General information

NPI: 1831340660
Provider Name (Legal Business Name): THE FLORIDA CENTER FOR EARLY CHILDHOOD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2008
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 Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

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