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NPI Code Detail

MEDICARE: MANASOTA CARE SERVICES LLC

MEDICARE: MANASOTA CARE SERVICES LLC
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
1172A00000XDriver

General Provider Information

NPI Number : 1780392860
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANASOTA CARE SERVICES LLC
Provider Business Mailing Address
First Line : 8069 SCARLETBUSH DR
Second Line :
City : SARASOTA
State : FL
Zip : 34240-1728
Country : US
Telephone Number : 941-780-6036
Fax Number :
Provider Business Practice Location Address
First Line : 8069 SCARLETBUSH DR
Second Line :
City : SARASOTA
State : FL
Zip : 34240-1728
Country : US
Telephone Number : 941-780-6036
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. ALEVTINA TYUJINA
Credential :
Telephone Number : 941-780-6036
Provider Enumeration Date : 11/08/2022
Last Update Date : 02/19/2026

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Directions to “MANASOTA CARE SERVICES LLC ” Practice Location

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