| Centerplace Health, Inc. | |
|
1750 17th St Ste N Sarasota FL 34234-8690 | |
| (941) 529-0200 | |
| Not Available |
| Full Name | Centerplace Health, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1750 17th St Ste N, Sarasota, Florida |
| Authorized Official Name and Position | Christa Sue Carter (FINANCIAL CONTROLLER) |
| Authorized Official Contact | 9415290243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerplace Health, Inc. 1750 17th St Ste N Sarasota FL 34234-8690 Ph: (941) 529-0200 | Centerplace Health, Inc. 1750 17th St Ste N Sarasota FL 34234-8690 Ph: (941) 529-0200 |
| NPI Number | 1053984351 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053984351 | NPI | - | NPPES |
| 025148207 | Medicaid | FL | |
| 025148206 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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