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6075 Rand Blvd Ste 1 Sarasota FL 34238-5126 | |
| (941) 921-2792 | |
| (941) 925-2438 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6075 Rand Blvd Ste 1, Sarasota, Florida |
| Authorized Official Name and Position | Stephen George Huk (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9419212792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
6075 Rand Blvd Suite 1 Sarasota FL 34238-5126 Ph: (941) 921-2792 | 6075 Rand Blvd Ste 1 Sarasota FL 34238-5126 Ph: (941) 921-2792 |
| NPI Number | 1336546696 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Medicare PECOS PAC ID | 1658727177 |
|---|---|
| Medicare Enrollment ID | O20231019001549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336546696 | NPI | - | NPPES |
| Provider Name | Carol Jean Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154331122 PECOS PAC ID: 8022073782 Enrollment ID: I20221108003625 |
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