Provider Demographics
NPI:1609342708
Name:CONTINUUM HEALTHCARE PROVIDERS WEST FLORIDA LLC
Entity Type:Organization
Organization Name:CONTINUUM HEALTHCARE PROVIDERS WEST FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMATO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:941-896-5845
Mailing Address - Street 1:5008 E SR 64
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-5522
Mailing Address - Country:US
Mailing Address - Phone:941-896-5845
Mailing Address - Fax:941-896-3082
Practice Address - Street 1:5008 SR 64 EAST
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208
Practice Address - Country:US
Practice Address - Phone:813-928-7939
Practice Address - Fax:813-677-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty