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NPI 1922286285

NPI 1922286285 : SARASOTA HEALTH AND WELLNESS, INC. : SARASOTA, FL

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General NPI Number Information
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    NPI Number           |    1922286285
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    Entity Type          |    Organization 
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    Legal Business Name  |    SARASOTA HEALTH AND WELLNESS, INC. 
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Dates
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    Enumeration Date     |    02/08/2008
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    Last Update Date     |    02/08/2008
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Provider Practice Location Address
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    Address Line         |    7585 PALMER GLEN CIR 
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34240-7820
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    Country              |    US
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    Telephone            |    941-234-6028
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    Fax                  |    941-377-7810
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Provider Business Mailing Address
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    Address Line         |    7585 PALMER GLEN CIR 
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34240-7820
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    Country              |    US
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    Telephone            |    941-234-6028
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    Fax                  |    941-377-7810
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. DENISE RAYE FORD 
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    Credential           |    R.N.
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    Telephone            |    941-234-6028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    RN9206953
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    License Number State |    FL
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