Provider Demographics
NPI:1659834174
Name:SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT
Other - Org Name:SARASOTA MEMORIAL RADIATION ONCOLOGY CENTER AT UNIVERSITY PARKWAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:VERINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-917-2498
Mailing Address - Street 1:1700 S TAMIAMI TRL
Mailing Address - Street 2:ATTN: ADMINISTRATION
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3555
Mailing Address - Country:US
Mailing Address - Phone:941-917-9000
Mailing Address - Fax:
Practice Address - Street 1:5370 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-5800
Practice Address - Country:US
Practice Address - Phone:941-917-1981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SARASOTA MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-11
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010176100Medicaid