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GULF COAST HEALTH TRAVEL AND IMMUNIZATION NPI 1255622833


NPI Information

NPI: 1255622833
Provider Name: GULF COAST HEALTH TRAVEL AND IMMUNIZATION

Doing Business As: PASSPORT HEALTH OF SARASOTA

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2196782

Address:
2195 RINGLING BLVD
SARASOTA, FL
ZIP 34237
Phone: (941) 362-0304
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GULF COAST HEALTH TRAVEL AND IMMUNIZATION is a clinic center in Sarasota, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GULF COAST HEALTH TRAVEL AND IMMUNIZATION NPI is 1255622833. The provider is registered as an organization entity type.
The provider Is Doing Business As Passport Health Of Sarasota.

The provider's business location address is:

2195 RINGLING BLVD
SARASOTA, FL
ZIP 34237-003
Phone: (941) 362-0304
Fax: (941) 362-0593

The provider's authorized official is Gail Ann Eldridge .
The authorized official title is Executive Director and has the following contact phone number (941) 362-0304.

The CLIA number assigned to this NPI record is 10D2196782 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2011 and was last updated on 4/29/2011.


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
1261Q00000XClinic/CenterYes

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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