Healthcare Provider Details

I. General information

NPI: 1902012636
Provider Name (Legal Business Name): MED-FLORIDA HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 BRADEN AVE SUITE #101
SARASOTA FL
34243-2053
US

IV. Provider business mailing address

373 BRADEN AVE SUITE #101
SARASOTA FL
34243-2053
US

V. Phone/Fax

Practice location:
  • Phone: 941-359-9090
  • Fax: 941-360-1595
Mailing address:
  • Phone: 941-359-9090
  • Fax: 941-360-1595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberHCC4592
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberHCC4592
License Number StateFL

VIII. Authorized Official

Name: SHERYL LANG GELETKA
Title or Position: DIRECTOR
Credential:
Phone: 941-359-9090