MEDICARE: SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	SNF12310961	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740263367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	5640 RAND BLVD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34238-5174
Country	:	US
Telephone Number	:	941-917-4950
Fax Number	:	941-917-4953

Provider Business Practice Location Address
First Line	:	5640 RAND BLVD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34238-5174
Country	:	US
Telephone Number	:	941-917-4950
Fax Number	:	941-917-4953

Authorized Official
Title or Position	:	CEO AND PRESIDENT
Name	:	DAVID VERINDER
Credential	:
Telephone Number	:	941-917-1725

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	08/20/2021

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Directions to “SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT ” Practice Location

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