Provider Demographics
NPI:1497836530
Name:ACUTE CARE TEAM
Entity Type:Organization
Organization Name:ACUTE CARE TEAM
Other - Org Name:ACT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-778-2641
Mailing Address - Street 1:9908 GULF DR
Mailing Address - Street 2:P.O. BOX 669
Mailing Address - City:ANNA MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34216
Mailing Address - Country:US
Mailing Address - Phone:941-778-2641
Mailing Address - Fax:941-779-2291
Practice Address - Street 1:9908 GULF DR
Practice Address - Street 2:
Practice Address - City:ANNA MARIA
Practice Address - State:FL
Practice Address - Zip Code:34216
Practice Address - Country:US
Practice Address - Phone:941-778-2641
Practice Address - Fax:941-779-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL312227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1247210001Medicare ID - Type Unspecified