Provider Demographics
NPI:1295873248
Name:PLANNED PARENTHOOD OF SOUTHWEST AND CENTRAL FLORIDA, INC.
Entity type:Organization
Organization Name:PLANNED PARENTHOOD OF SOUTHWEST AND CENTRAL FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT & CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-365-3913
Mailing Address - Street 1:736 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-4042
Mailing Address - Country:US
Mailing Address - Phone:941-365-3913
Mailing Address - Fax:941-296-7806
Practice Address - Street 1:726 S TAMPA AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-3646
Practice Address - Country:US
Practice Address - Phone:407-246-1788
Practice Address - Fax:407-246-8466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96883332900000X
FLFM34293423336C0002X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No332900000XSuppliersNon-Pharmacy Dispensing Site
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256972800Medicaid