Provider Demographics
NPI:1922286285
Name:SARASOTA HEALTH AND WELLNESS, INC.
Entity Type:Organization
Organization Name:SARASOTA HEALTH AND WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:RAYE
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:941-234-6028
Mailing Address - Street 1:7585 PALMER GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-7820
Mailing Address - Country:US
Mailing Address - Phone:941-234-6028
Mailing Address - Fax:941-377-7810
Practice Address - Street 1:7585 PALMER GLEN CIR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-7820
Practice Address - Country:US
Practice Address - Phone:941-234-6028
Practice Address - Fax:941-377-7810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9206953251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare