Provider Demographics
NPI:1598197253
Name:1 HEALTH PLACE LLC
Entity Type:Organization
Organization Name:1 HEALTH PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEDZIEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-552-4511
Mailing Address - Street 1:1440 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-5715
Mailing Address - Country:US
Mailing Address - Phone:941-552-4511
Mailing Address - Fax:941-552-4711
Practice Address - Street 1:1440 MAIN ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-5715
Practice Address - Country:US
Practice Address - Phone:941-552-4511
Practice Address - Fax:941-552-4711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Single Specialty