Provider Demographics
NPI:1508262973
Name:SARASOTA HEALTH SOLUTION CORP
Entity Type:Organization
Organization Name:SARASOTA HEALTH SOLUTION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRIETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:CECCARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-366-6968
Mailing Address - Street 1:2750 BAHIA VISTA ST STE 160
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2638
Mailing Address - Country:US
Mailing Address - Phone:941-366-6968
Mailing Address - Fax:941-366-6948
Practice Address - Street 1:2750 BAHIA VISTA ST STE 160
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2638
Practice Address - Country:US
Practice Address - Phone:941-366-6968
Practice Address - Fax:941-366-6948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8404207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU94461Medicare UPIN