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5955 Rand Blvd Sarasota FL 34238-5160 | |
| (941) 552-7544 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Technician - Attendant Care Provider |
| Location | 5955 Rand Blvd, Sarasota, Florida |
| Authorized Official Name and Position | Saida Bouhamid (CFO) |
| Authorized Official Contact | 9415527500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5955 Rand Blvd Sarasota FL 34238-5160 Ph: (941) 552-7544 | 5955 Rand Blvd Sarasota FL 34238-5160 Ph: (941) 552-7544 |
| NPI Number | 1033873112 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033873112 | NPI | - | NPPES |
| 002597100 | Medicaid | FL |
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