Provider Demographics
NPI:1336257005
Name:SARASOTA HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:SARASOTA HEALTHCARE SERVICES, INC.
Other - Org Name:SARASOTA HEALTHCARE SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:K
Authorized Official - Last Name:CORBETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:941-358-7934
Mailing Address - Street 1:5476 GOLF POINTE DRIVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2868
Mailing Address - Country:US
Mailing Address - Phone:941-358-7934
Mailing Address - Fax:941-355-4350
Practice Address - Street 1:8437 TUTTLE AVENUE
Practice Address - Street 2:#303
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2868
Practice Address - Country:US
Practice Address - Phone:941-358-7934
Practice Address - Fax:941-355-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1072342163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV46008OtherHEALTH CARE SERVICES