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SARASOTA CHILDRENS CLINIC PA NPI 1417054958


NPI Information

NPI: 1417054958
Provider Name: SARASOTA CHILDRENS CLINIC PA

Doing Business As: SARASOTA CHILDRENS CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0295641

Address:
3920 BEE RIDGE RD STE A-C
SARASOTA, FL
ZIP 34233
Phone: (941) 923-3667
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SARASOTA CHILDRENS CLINIC PA is a pediatrics in Sarasota, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SARASOTA CHILDRENS CLINIC PA NPI is 1417054958. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sarasota Childrens Clinic.

The provider's business location address is:

3920 BEE RIDGE RD STE A-C
SARASOTA, FL
ZIP 34233-258
Phone: (941) 923-3667
Fax: (941) 924-3246

The provider's authorized official is Carola Hoigne Fleener .
The authorized official title is President and has the following contact phone number (941) 923-3667.

The CLIA number assigned to this NPI record is 10D0295641 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 3/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1377866500OTHERFLORIDAMEDIPASS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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