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Centerplace Health, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) in Sarasota, FL. Organization (NPI-2).

NPI number1164092979
StatusActive
Last updated in NPPESJun 25, 2021

Details

NPI
1164092979
Entity type
Organization (NPI-2)
Legal business name
Centerplace Health, INC.
Organization subpart
Yes
Enumeration date
Jun 25, 2021
Certification date
Jun 25, 2021
Last updated
Jun 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Practice location

1750 17th St Ste E
Sarasota, FL 34234-8666

Phone 941-529-0200 · Fax 855-674-1836

Mailing address

1750 17th St Ste N
Sarasota, FL 34234-8690

Phone 941-529-0203 · Fax 855-674-1836

Authorized official

Christa Sue Carter
Financial Controller
9415290243

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