Healthcare Provider Details

I. General information

NPI: 1790396489
Provider Name (Legal Business Name): CENTER FOR AGING AND REHABILITATION OF SARASOTA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2020
Last Update Date: 10/07/2020
Certification Date: 10/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 18TH ST
SARASOTA FL
34234-8657
US

IV. Provider business mailing address

100 SE 2ND ST STE 2000
MIAMI FL
33131-2101
US

V. Phone/Fax

Practice location:
  • Phone: 419-554-9159
  • Fax: 941-366-9455
Mailing address:
  • Phone: 954-367-4597
  • Fax: 954-367-4597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. MARGARET H FERNANDEZ
Title or Position: PRESIDENT DIRECTOR
Credential:
Phone: 954-367-4597