FLORIDA DEPARTMENT OF HEALTH CHILDRENS HEALTH CENTER (NPI# 1013324235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013324235 |
Entity Type | Organization |
Organization Name | FLORIDA DEPARTMENT OF HEALTH CHILDRENS HEALTH CENTER |
Other Organization Name | CHILDRENS HEALTH CENTER |
Practice Address |
1750 17th St Bldg E Sarasota FL 34234-8632 |
Practice Telephone | 9418611424 |
Mailing Telephone | 9418611424 |
Enumeration Date | 2014-07-21 |
Last Update Date | 2014-07-21 |
Authorized Official Name | CHARLES HENRY (ADMINISTRATOR) |
Authorized Official Telephone | 9418612950 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PH 28273 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2146807 | 01 |
Other Name | Type Code |
---|---|
Childrens Health Center | Doing Business As Name - Organization |
Street Address |
1750 17TH ST BLDG E |
City | SARASOTA |
State | FL |
Zip Code | 34234-8632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093789836 | Phillip Jay Brooks | Counselor | 1750 17th St, Bldg J-2, Sarasota, FL 34234-8632 | 2006-02-16 |
1265088447 | Leah Danielle Abramoff | Social Worker | 1750 17th St, Sarasota, FL 34234-8632 | 2019-08-14 |
1730552241 | Krystal Suzanne Frazier | Counselor | 1750 17th St, Sarasota, FL 34234-8632 | 2015-11-05 |
1295125292 | Crissa Ann Harman | Counselor | 1750 17th St, Sarasota, FL 34234-8632 | 2015-01-28 |
1144646555 | Michelle Rosell | Community Health Worker | 1750 17th St, Sarasota, FL 34234-8632 | 2014-03-10 |
1245656651 | Annette Bolton | Community Health Worker | 1750 17th St, Sarasota, FL 34234-8632 | 2014-03-10 |
1902134091 | Darra S Moore | Registered Nurse | 1750 17th St, Sarasota, FL 34234-8632 | 2009-12-01 |
1396963294 | Amanda Shanks Mcconnell | Social Worker | 1750 17th St, Suite J-2, Sarasota, FL 34234-8632 | 2007-04-23 |
1336206739 | Stephen Kopetskie | Psychologist | 1750 17th St, Building C, Sarasota, FL 34234-8632 | 2007-01-03 |
1205943065 | David Allen Clapp | Counselor | 1750 17th St, Sarasota, FL 34234-8632 | 2006-08-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447797519 | Yen Le | Family Medicine | 1750 17th Street Building E Sally and Sam, Shapiro Babies and Children Medical Center, Sarasota, FL 34234 | 2017-01-26 |
1831546027 | Monica Perry | Counselor | 1700 Independence Blvd Suite 100, Sarasota, FL 34234 | 2016-05-18 |
1639562523 | Marylou Caldwell | Social Worker | 1750 17th Street, Sarasota, FL 34234 | 2015-03-17 |
1265853337 | Comfort Iv Therapy | Pharmacy | 1800 Northgate Blvd, Suite A7, Sarasota, FL 34234 | 2013-12-17 |
1346687043 | Joel Alan Bernstein | Counselor | 1500 Independence Blvd. Suite 100, Family Preservation Services,inc, Sarasota, FL 34234 | 2013-06-04 |
1285911479 | Gina Sauer | Social Worker | 1748 Independence Blvd Suite D-1, Sarasota, FL 34234 | 2011-11-16 |
1982811279 | Miles C. Douglas | Occupational Therapy Assistant | 1855 Sanford Cir., Sarasota, FL 34234 | 2007-05-17 |
1518185503 | Debao Ye | Acupuncturist | 3808 North Tamiami Trail, Sarasota, FL 34234 | 2007-04-23 |
1053457655 | Sonja M. O'flynn | Nurse Practitioner | 2223 N Washington Blvd, Genesis Health Services, Inc, Sarasota, FL 34234 | 2007-01-30 |
1245326057 | Virginia Munson Reynolds | Counselor | 1750 17th. St., Sarasota, FL 34234 | 2006-10-05 |
Find all providers in zip 34234 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1275132631 | Riviera Beach Integrated Care Inc | Pharmacy | 31 W 20th St # 101, Riviera Beach, FL 33404-6155 | 2020-10-18 |
1093322851 | Al Mani Health Institute | Pharmacy | 7710 Nw 71st Ct Ste 205a, Tamarac, FL 33321-2931 | 2020-09-25 |
1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
1114579158 | Doctors Diet Program of South Florida Pllc | Pharmacy | 1501 W Reynolds St, Plant City, FL 33563-4707 | 2019-07-10 |
1770007486 | Millenium Clinic Pharmacy Inc | Pharmacy | 12914 Sw 133rd Ct Ste B, Miami, FL 33186-6585 | 2017-08-03 |
1902278427 | Metro Treatment of Florida, Lp | Pharmacy | 1415 Homestead Rd, Lehigh Acres, FL 33936-4830 | 2015-10-23 |
1942676168 | Trenton Medical Center Inc | Pharmacy | 103 Us Highway 27 Sw, Branford, FL 32008-2767 | 2015-08-12 |
1043699044 | Island Rx, LLC | Pharmacy | 90130 Old Hwy Ste 1a, Tavernier, FL 33070-2348 | 2015-05-22 |
1528460128 | Doctor Today Tlc, LLC | Pharmacy | 101 Magnolia Ave, Auburndale, FL 33823-4201 | 2014-09-25 |
1760881437 | Tampa Family Health Centers Inc | Pharmacy | 6216 E Sligh Avenue, Tampa, FL 33617 | 2014-08-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.