Brea Sarasota, Llc

NPI 1013041409 - Alzheimer Center (Dementia Center) - 311500000X

NPI Details
NPI 1013041409
Enumeration Date 03/15/2007
Last Updated 02/17/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARK MARK
Position PRESIDENT/CEO
Phone (941) 922-8778
Fax (941) 921-0264
Practice Location
5501 SWIFT RD
SARASOTA FL, 34231-6209, US
Phone (941) 922-8778
Fax (941) 921-0264
Business Location
6737 W WASHINGTON ST
SUITE 2300
MILWAUKEE WI, 53214-5647, US
Phone
Fax
Toxanomy
Taxonomy Code 311500000X
License State Florida
License Number AL7102
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According to our database, Brea Sarasota, Llc NPI is 1013041409, taxonomy code is 311500000X and license number is AL7102, license state is located at Florida. Brea Sarasota, Llc physically located at 5501 Swift Rd, Sarasota FL, 34231-6209. NPI Number 1033115704 has the healthcare provider type.

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1013041409 NPI number is provided on an as is basis without warranty of any kind. 1013041409 is maintained by the National Plan & Provider Enumeration System. The contents of Brea Sarasota, Llc are for informational purposes only.