Healthcare Provider Details

I. General information

NPI: 1760305320
Provider Name (Legal Business Name): EARLY GROWTH AND LEARNING DEVELOPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 CARMELLA LN
SARASOTA FL
34243-1103
US

IV. Provider business mailing address

1218 CARMELLA LN
SARASOTA FL
34243-1103
US

V. Phone/Fax

Practice location:
  • Phone: 813-770-8825
  • Fax:
Mailing address:
  • Phone: 813-770-8825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: DEILY FAIFE RODRIGUEZ
Title or Position: MGR
Credential:
Phone: 813-770-8825