Healthcare Provider Details
I. General information
NPI: 1245294826
Provider Name (Legal Business Name): SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2006
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1700 S TAMIAMI TRL
SARASOTA FL
34239-3509
US
IV. Provider business mailing address
1700 S TAMIAMI TRL
SARASOTA FL
34239-3509
US
V. Phone/Fax
- Phone: 941-917-1696
- Fax: 941-917-2180
- Phone: 941-917-1696
- Fax: 941-917-2180
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 273R00000X |
| Taxonomy | Psychiatric Hospital Unit |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | 4191 |
| License Number State | FL |
VIII. Authorized Official
Name:
DAVID
VERINDER
Title or Position: PRESIDENT & CHIEF EXECUTIVE OFFICER
Credential:
Phone: 941-917-1716