Provider Demographics
NPI:1457437188
Name:CMS SARASOTA
Entity Type:Organization
Organization Name:CMS SARASOTA
Other - Org Name:DEPARTMENT OF HEALTH/CHILDRE'S MEDICAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:REGIONAL PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:941-361-6250
Mailing Address - Street 1:6055 RAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-5189
Mailing Address - Country:US
Mailing Address - Phone:941-361-6250
Mailing Address - Fax:941-361-6272
Practice Address - Street 1:6055 RAND BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-5189
Practice Address - Country:US
Practice Address - Phone:941-361-6250
Practice Address - Fax:941-361-6272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare