SARASOTA WELLNESS AND WEIGHT MANAGEMENT LLC


Address: 8588 Potter Park Dr, St 201, Sarasota, FL 34238-5471
Phone: 9413887457

SARASOTA WELLNESS AND WEIGHT MANAGEMENT LLC (NPI# 1780930149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780930149
Entity Type Organization
Organization Name SARASOTA WELLNESS AND WEIGHT MANAGEMENT LLC
Practice Address 8588 Potter Park Dr
St 201
Sarasota
FL 34238-5471
Practice Telephone 9413887457
Practice Fax Number 9412563305
Mailing Telephone 9413887457
Mailing Fax Number 9412563305
Enumeration Date 2012-08-03
Last Update Date 2012-08-17
Authorized Official Name DR. CLIFFORD LEE THACKER (OWNER)
Authorized Official Telephone 9413887457
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
70754 FL Ambulatory Health Care Facilities

Office Location

Street Address 8588 POTTER PARK DR
ST 201
City SARASOTA
State FL
Zip Code 34238-5471

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NPI Name Taxonomy Address Enumeration
1962952556 Fitness Quest - Palmer Ranch, LLC Clinic/Center 8588 Potter Park Dr, Sarasota, FL 34238-5471 2016-10-07

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1760848527 Krause Dental Dentist 7208 Beneva Road South, Sarasota, FL 34238 2016-01-11
1720467632 Marco Antunez Physical Therapy Assistant 4954 Oldham St, Sarasota, FL 34238 2015-05-26
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1831443597 Jessica Thomason Pharmacist 8201 South Tamiami Trail, Sarasota, FL 34238 2012-11-02
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1811034770 Medical Providers Inc. Clinic/Center 4450 South Tamiami Trail, Sarasota, FL 34231-3454 2007-01-31
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1730423963 Doctors Hospital Clinic/Center 5731 Bee Ridge Rd, Sarasota, FL 34233-5056 2012-11-09
1013269851 Comprehensive Care Center Inc North Port Clinic/Center 1231 N Tuttle Ave, Sarasota, FL 34237-3116 2012-10-03
1972772937 Ishpaul Medical, Inc. Clinic/Center 5250 17th St, Suite 7, Sarasota, FL 34235-8242 2008-02-25

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Competitor

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City SARASOTA
Zip Code 34238

Improve Information

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Dataset Information

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.

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