Provider Demographics
NPI:1255664694
Name:FEDCARE PLLC
Entity type:Organization
Organization Name:FEDCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FEDERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIANO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:941-343-2742
Mailing Address - Street 1:100 WALLACE AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-6041
Mailing Address - Country:US
Mailing Address - Phone:941-343-2742
Mailing Address - Fax:941-343-2743
Practice Address - Street 1:100 WALLACE AVE STE 130
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6041
Practice Address - Country:US
Practice Address - Phone:941-343-2742
Practice Address - Fax:941-343-2743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty