SARASOTA WELLNESS AND WEIGHT MANAGEMENT LLC (NPI# 1780930149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780930149 |
Entity Type | Organization |
Organization Name | SARASOTA WELLNESS AND WEIGHT MANAGEMENT LLC |
Practice Address |
8588 Potter Park Dr St 201 Sarasota FL 34238-5471 |
Practice Telephone | 9413887457 |
Practice Fax Number | 9412563305 |
Mailing Telephone | 9413887457 |
Mailing Fax Number | 9412563305 |
Enumeration Date | 2012-08-03 |
Last Update Date | 2012-08-17 |
Authorized Official Name | DR. CLIFFORD LEE THACKER (OWNER) |
Authorized Official Telephone | 9413887457 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
70754 | FL | Ambulatory Health Care Facilities |
Street Address |
8588 POTTER PARK DR ST 201 |
City | SARASOTA |
State | FL |
Zip Code | 34238-5471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962952556 | Fitness Quest - Palmer Ranch, LLC | Clinic/Center | 8588 Potter Park Dr, Sarasota, FL 34238-5471 | 2016-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396257168 | Strickland Family Dentistry | Clinic/Center | 8551 S. Tamiami Trail, Sarasota, FL 34238 | 2017-11-01 |
1043734031 | Michael Roy Guralnik | Acupuncturist | 6213 Weymouth Dr, Sarasota, FL 34238 | 2017-08-01 |
1275991424 | James Orr | Physical Therapist | 5581 Rand Blvd, Sarasota, FL 34238 | 2016-02-03 |
1760848527 | Krause Dental | Dentist | 7208 Beneva Road South, Sarasota, FL 34238 | 2016-01-11 |
1720467632 | Marco Antunez | Physical Therapy Assistant | 4954 Oldham St, Sarasota, FL 34238 | 2015-05-26 |
1629403506 | Multi-task Genie, LLC Dba Allied Pro-health Care | Nursing Care | 8620 S Tamiami Trail, Suite D, Sarasota, FL 34238 | 2013-09-10 |
1831443597 | Jessica Thomason | Pharmacist | 8201 South Tamiami Trail, Sarasota, FL 34238 | 2012-11-02 |
1164772521 | Eucarice X Richmond | Physical Therapy Assistant | 5111 Palmer Ranch Parkway, Sarasota, FL 34238 | 2012-09-13 |
1306194907 | Intellihealth, LLC | Social Worker | 6228 Donnington Ct, Sarasota, FL 34238 | 2012-08-29 |
1366706046 | Costco Wholesale Corporation | Pharmacy | 8201 S Tamiami Trl Unit 501, Sarasota, FL 34238 | 2012-06-27 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.