CAN COMMUNITY HEALTH, INC. (NPI# 1104829274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104829274 |
| Entity Type | Organization |
| Organization Name | CAN COMMUNITY HEALTH, INC. |
| Other Organization Name | COMPREHENSIVE CARE CENTER DBA COMMUNITY AIDS NETWORK |
| Practice Address |
1231 N Tuttle Ave Sarasota FL 34237-3116 |
| Mailing Address |
4440 Fruitville Rd Sarasota FL 34232-1926 |
| Practice Telephone | 9413660134 |
| Practice Fax Number | 9419511795 |
| Mailing Telephone | 9413660134 |
| Mailing Fax Number | 9414041760 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | MR. RICHARD E. CARLISLE (PRESIDENT / CEO) |
| Authorized Official Telephone | 9413660134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 057256000 | 05 | |
| FL | BCBS FL GROUP # | 21725 | 01 |
| Other Name | Type Code |
|---|---|
| Comprehensive Care Center dba Community AIDS Network | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Monticello Ave Ste 100, Norfolk, VA 235102564 | 7573465770 | 8662920928 |
| 1301 W Colonial Dr, Orlando, FL 328047133 | 4072461946 | 8558955749 |
| 1315 E 7th Ave, Tampa, FL 336053605 | 8137697207 | 8447220028 |
| 13936 Nw 7th Ave, Miami, FL 331682908 | 7868005631 | 8882851741 |
| 14243 Tamiami Trl, North Port, FL 342872215 | 9418888214 | 8888213060 |
| 1435 Dunn Ave Ste 101, Daytona Beach, FL 321141434 | 8038498430 | 8778261561 |
| 1726 Se 3rd Ave, Fort Lauderdale, FL 333162514 | 7547016920 | 8556436201 |
| 1825 Hurlburt Rd Ste 14, Fort Walton Beach, FL 325473737 | 8506108820 | 8442978690 |
| 1911 Hampton St, Columbia, SC 292013535 | 8038498430 | 8778261561 |
| 2349 Sunset Point Rd Ste 405, Clearwater, FL 337651439 | 7272166193 | 8778680981 |
| 3251 3rd Ave N, Saint Petersburg, FL 337138506 | 7274984969 | 8558965258 |
| 408 7th St W, Palmetto, FL 342215209 | 4072461946 | 8558955749 |
| 4101 Nw 3rd Ct Ste 9, Plantation, FL 333172830 | 7547014691 | 8775981604 |
| 427 Washington Ave, Miami Beach, FL 331396617 | 3055140813 | 8552354811 |
| 4350 N 19th Ave Ste 2, Phoenix, AZ 850154602 | 6026610666 | 4805643762 |
| 4350 N 19th Ave Ste 6, Phoenix, AZ 850154602 | 6026610666 | 4805643762 |
| 4615 Philips Hwy Ste 3, Jacksonville, FL 322079541 | 9045080710 | 8552997010 |
| 4747 Us Highway 19, New Port Richey, FL 346524945 | 7273122040 | 8888069655 |
| 8390 N Palafox St, Pensacola, FL 325343735 | 8138685704 | 8772667170 |
| Street Address |
1231 N TUTTLE AVE |
| City | SARASOTA |
| State | FL |
| Zip Code | 34237-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548775687 | Kacee Lynn Homer | Registered Nurse | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2017-12-12 |
| 1912437567 | Alexis Del Rosario | Dentist | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2017-06-15 |
| 1730621798 | Melissa Reyes | Case Manager/Care Coordinator | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2016-11-08 |
| 1265974224 | Nancy Smith | Case Manager/Care Coordinator | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2016-11-08 |
| 1437576295 | Rebecca Ann Litwiler | Social Worker | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2014-03-18 |
| 1013269851 | Comprehensive Care Center Inc North Port | Clinic/Center | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2012-10-03 |
| 1588931414 | Cheryl Ann Netherly | Case Manager/Care Coordinator | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2011-11-21 |
| 1225354459 | Rachel Goldie Kaufman | Case Manager/Care Coordinator | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2010-04-13 |
| 1295988871 | Giselle Marie Bolt | Registered Nurse | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2008-10-28 |
| 1225295819 | Comprehensive Care Center, Inc. | Case Management | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595004 | Brett Sondag | Counselor | 2033 Wood St., Ste. 215, 218, 220, Sarasota, FL 34237 | 2019-06-05 |
| 1730608274 | Stacy Lee Panzella | Behavior Technician | 2461 8th Street, Unit 52, Sarasora, FL 34237 | 2017-09-15 |
| 1871010942 | Katy Darlene Wendel | Registered Nurse | 1231 N. Tuttle Avenue, Sarasota, FL 34237 | 2017-08-29 |
| 1639699663 | Mark W. Phillips | Nurse Practitioner | 1 S School Ave Ste 200, Sarasota, FL 34237 | 2017-06-21 |
| 1295075281 | Baltimore Orioles Limited Partnership | Non-Pharmacy Dispensing Site | 1090 Euclid Ave, Ed Smith-baltimore Orioles-athletic Training Department, Sarasota, FL 34237 | 2013-02-27 |
| 1164786877 | Robin Susan Bernstein | Counselor | 520 Payne Pkwy, Sarasota, FL 34237 | 2012-06-27 |
| 1598053787 | Linda B Sherr | Counselor | 504 Payne Parkway, Sarasota, FL 34237 | 2011-07-21 |
| 1245463405 | Lydia Gay Corn | Internal Medicine | 80 S Tuttle Avenue, Suite 100, Sarasota, FL 34237 | 2009-09-03 |
| 1316187156 | John R Picken Md | General Practice | 3530 Fruitville Road, Sarasoa, FL 34237 | 2009-03-05 |
| 1124299193 | Manav Malik | Dentist | 3103 Fruitville Rd, Sarasota, FL 34237 | 2008-03-18 |
| Find all providers in zip 34237 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1588185045 | Wellness By Physicians Inc | Clinic/Center | 3801 Bee Ridge Rd Ste 9, Sarasota, FL 34233-1157 | 2017-07-05 |
| 1790159507 | Integrated Pelvic Health and Rehabilitation of Southwest Florida, P.a. | Clinic/Center | 5929 Approach Rd, Sarasota, FL 34238-5720 | 2015-11-17 |
| 1750769923 | Angsten Center for Pulmonary & Sleep Disorders Pa | Clinic/Center | 2914 University Pkwy, Sarasota, FL 34243-2412 | 2015-05-08 |
| 1205924396 | Behavioral Health Centers Pa | Clinic/Center | 6075 Rand Blvd, Ste 1, Sarasota, FL 34238-5189 | 2006-10-11 |
| 1376505370 | Smh Professional Services Corp | Clinic/Center | 1700 S Tamiami Tr, Sarasota, FL 34239 | 2006-04-05 |
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| 1821696766 | Advanced Healthcare Integration, LLC | Clinic/Center | 445 Pineda Ct Ste 200, Melbourne, FL 32940-7555 | 2020-10-13 |
| 1952909954 | Therapy On Call, LLC | Clinic/Center | 93 Bella Vita Way, Ormond Beach, FL 32174-6634 | 2020-10-12 |
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| 1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
| 1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
| 1306461447 | Elevate Medical Fort Myers, LLC | Clinic/Center | 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127 | 2020-06-15 |
| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
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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.