Provider Demographics
NPI:1457556185
Name:SYLVAN HEALTH SERVICES
Entity Type:Organization
Organization Name:SYLVAN HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON-POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-252-0535
Mailing Address - Street 1:2751 REGENCY OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-1524
Mailing Address - Country:US
Mailing Address - Phone:727-252-0535
Mailing Address - Fax:
Practice Address - Street 1:2751 REGENCY OAKS BLVD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-1524
Practice Address - Country:US
Practice Address - Phone:727-252-0535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health