Healthcare Provider Details

I. General information

NPI: 1740263367
Provider Name (Legal Business Name): SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 08/20/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5640 RAND BLVD
SARASOTA FL
34238-5174
US

IV. Provider business mailing address

5640 RAND BLVD
SARASOTA FL
34238-5174
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-4950
  • Fax: 941-917-4953
Mailing address:
  • Phone: 941-917-4950
  • Fax: 941-917-4953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF12310961
License Number StateFL

VIII. Authorized Official

Name: DAVID VERINDER
Title or Position: CEO AND PRESIDENT
Credential:
Phone: 941-917-1725