YOUTHFUL AGING HEALTH CENTER INC NPI 1598166043

NPI Information

YOUTHFUL AGING HEALTH CENTER INC is a neurology psychiatry neurology in Sarasota, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. YOUTHFUL AGING HEALTH CENTER INC NPI is 1598166043. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5602 MARQUESAS CIR
SUITE 105
SARASOTA, FL
ZIP 34233-310
Phone: (941) 925-9532
Fax: (941) 925-9628

The provider's authorized official is Nicci Kobritz .
The authorized official title is Director/ceo and has the following contact phone number (941) 925-9532.

The CLIA number assigned to this NPI record is 10D2035831 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2014 and was last updated on 3/12/2015.

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:

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