Provider Demographics
NPI:1518715226
Name:SEMINOLE COUNTY SHERIFF'S OFFICE
Entity type:Organization
Organization Name:SEMINOLE COUNTY SHERIFF'S OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUBATAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:407-665-1301
Mailing Address - Street 1:211 ESLINGER WAY
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-6188
Mailing Address - Country:US
Mailing Address - Phone:407-665-1301
Mailing Address - Fax:
Practice Address - Street 1:211 ESLINGER WAY
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-6188
Practice Address - Country:US
Practice Address - Phone:407-665-1301
Practice Address - Fax:407-665-1236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local