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BANYAN PEDIATRIC CARE CENTERS SARASOTA LLC NPI 1205447398


NPI Information

NPI: 1205447398
Provider Name: BANYAN PEDIATRIC CARE CENTERS SARASOTA, LLC
Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

CLIA Number: 10D2192103

Address:
3251 17TH ST UNIT 200
SARASOTA, FL
ZIP 34235
Phone: (941) 929-5450
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BANYAN PEDIATRIC CARE CENTERS SARASOTA, LLC is a medically fragile infants and children day care clinic center in Sarasota, FL. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). BANYAN PEDIATRIC CARE CENTERS SARASOTA, LLC NPI is 1205447398. The provider is registered as an organization entity type.

The provider's business location address is:

3251 17TH ST UNIT 200
SARASOTA, FL
ZIP 34235-900
Phone: (941) 929-5450

The provider's authorized official is Janet Huffman .
The authorized official title is Cfo and has the following contact phone number (941) 929-5450.

The CLIA number assigned to this NPI record is 10D2192103 - other - prescribed pediactric ext with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2020 and was last updated on 8/12/2020.


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
1261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareYes

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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