Provider Demographics
NPI:1235265612
Name:COMPREHENSIVE CHILDCARE ASSOCIATES
Entity Type:Organization
Organization Name:COMPREHENSIVE CHILDCARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:FEATHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FAAP
Authorized Official - Phone:941-955-5191
Mailing Address - Street 1:2020 CATTLEMEN RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-5284
Mailing Address - Country:US
Mailing Address - Phone:941-955-5191
Mailing Address - Fax:941-366-7582
Practice Address - Street 1:2020 CATTLEMEN RD
Practice Address - Street 2:SUITE 600
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6243
Practice Address - Country:US
Practice Address - Phone:941-955-5191
Practice Address - Fax:941-366-7582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL046055900Medicaid
FL262500800Medicaid
FL261441300Medicaid
FL260327600Medicaid
FLD20914Medicare UPIN
FL261441300Medicaid