TOTAL LIFE CARE CLINIC, LLC (NPI# 1841728698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841728698 |
| Entity Type | Organization |
| Organization Name | TOTAL LIFE CARE CLINIC, LLC |
| Practice Address |
55 S Palm Ave Sarasota FL 34236-5610 |
| Mailing Address |
Po Box 3941 Sarasota FL 34230-3941 |
| Practice Telephone | 9417775661 |
| Mailing Telephone | 9417775661 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | ROSHUNYA SHAVON CLARK (CEO) |
| Authorized Official Telephone | 3528705025 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9214368 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 S PALM AVE |
| City | SARASOTA |
| State | FL |
| Zip Code | 34236-5610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902392988 | Active 4 Life, Pllc | Physical Therapist | 55 S Palm Ave, Sarasota, FL 34236-5610 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065122 | Pines of Sarasota Healthcare, LLC | Assisted Living Facility | 1251 N Orange Ave, Sarasota, FL 34236 | 2018-05-31 |
| 1053800995 | Susan Grace Swinnerton | Counselor | 1753 Ringling Boulevard, Sarasota, FL 34236 | 2018-05-07 |
| 1457892895 | Smart Living Coaching Services LLC | Psychologist | 1188 N Tamiami Trl Unit 205b, Sarasota, FL 34236 | 2017-03-18 |
| 1427595784 | Lisa Johnson Physical Therapy, Pllc | Physical Therapist | 1451 2nd St, Sarasota, FL 34236 | 2017-01-25 |
| 1003362302 | Jennifer Dawson | Counselor | 1565 State St., Sarasota, FL 34236 | 2016-08-28 |
| 1548662141 | Lanneka White | Nurse Practitioner | 1990 Main Street Suite 750 Unit 738, Sarasota, FL 34236 | 2014-09-25 |
| 1215200878 | Gt Spiritual Enterprises, Inc. | Acupuncturist | 25 South Osprey Avenue, Sarasota, FL 34236 | 2012-02-13 |
| 1225315070 | Michelle Celeste Berhen | Physical Therapist | 1058 N Tamiami Trail 108-280, Sarasota, FL 34236 | 2011-11-08 |
| 1730412701 | My Smile Dentistry | Dentist | 846 South Osprey Avenue, Sarasota, FL 34236 | 2009-09-09 |
| 1134361587 | Kasy Willie Kane | Counselor | 310 South Osprey Avenue, Sarasota, FL 34236 | 2009-04-01 |
| Find all providers in zip 34236 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
| 1710517032 | Samer Saad | Nurse Practitioner | 7317 Alderwood Dr, Sarasota, FL 34243-1707 | 2020-01-26 |
| 1730648361 | Brandi Doyle | Nurse Practitioner | 4037 Lancaster Dr, Sarasota, FL 34241-5820 | 2019-03-13 |
| 1497292049 | Roshunya Shavon Clark | Nurse Practitioner | 3721 Parkridge Cir, Sarasota, FL 34243-1455 | 2017-01-20 |
| 1053715888 | Ecomerfordnp Pllc | Nurse Practitioner | 4371 Trails Dr, Sarasota, FL 34232-3446 | 2014-10-22 |
| 1679991624 | Deniese Williams | Nurse Practitioner | 7333 Scotland Way Ofc, Sarasota, FL 34238-8556 | 2014-04-06 |
| 1265862064 | Amanda Jane Miller | Nurse Practitioner | 1710 1/2 Laurel St Apt 5, Sarasota, FL 34236-6887 | 2013-11-15 |
| 1285957647 | Sheryl Ann Wilson | Nurse Practitioner | 2428 49th St, Sarasota, FL 34234-3206 | 2010-03-12 |
| 1396985289 | Nicole Victoria Zumpf-blazer | Nurse Practitioner | 5660 Rock Dove Dr, Sarasota, FL 34241-5218 | 2009-03-04 |
| 1003052127 | Wanda Krakowski Hoerning | Nurse Practitioner | 7816 Camminare Dr, Sarasota, FL 34238-4780 | 2008-12-18 |
| Find all providers in SARASOTA | ||||
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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.