| Cognitive Health Centers, Llc | |
|
2801 Fruitville Rd Ste 290 Sarasota FL 34237-5347 | |
| (941) 529-0077 | |
| (941) 529-0088 |
| Full Name | Cognitive Health Centers, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2801 Fruitville Rd Ste 290, Sarasota, Florida |
| Authorized Official Name and Position | Jessie Dudley (MANAGER) |
| Authorized Official Contact | 9415290077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Health Centers, Llc 2801 Fruitville Rd Ste 290 Sarasota FL 34237-5347 Ph: (941) 529-0077 | Cognitive Health Centers, Llc 2801 Fruitville Rd Ste 290 Sarasota FL 34237-5347 Ph: (941) 529-0077 |
| NPI Number | 1902562663 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 02/10/2025 |
| Medicare PECOS PAC ID | 7618369893 |
|---|---|
| Medicare Enrollment ID | O20220120000943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902562663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | William W Nields |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972587848 PECOS PAC ID: 3779582499 Enrollment ID: I20130930000511 |
| Provider Name | Agnes Torres Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740721695 PECOS PAC ID: 7012278161 Enrollment ID: I20180306000828 |
| Provider Name | Susan G Spell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205071875 PECOS PAC ID: 4082898630 Enrollment ID: I20211025001719 |
| Provider Name | Mechelle Caswell Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699438812 PECOS PAC ID: 1951793082 Enrollment ID: I20220121000546 |
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