| Integral Path Associates, Llc | |
|
2831 Ringling Blvd Ste C110b Sarasota FL 34237-5334 | |
| (941) 735-7640 | |
| (941) 200-4137 |
| Full Name | Integral Path Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2831 Ringling Blvd Ste C110b, Sarasota, Florida |
| Authorized Official Name and Position | Juanita Chenault (OWNER) |
| Authorized Official Contact | 9417357640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Path Associates, Llc 8388 S Tamiami Trl Ste 187 Sarasota FL 34238-2934 Ph: (941) 735-7640 | Integral Path Associates, Llc 2831 Ringling Blvd Ste C110b Sarasota FL 34237-5334 Ph: (941) 735-7640 |
| NPI Number | 1679926307 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Medicare PECOS PAC ID | 0840576229 |
|---|---|
| Medicare Enrollment ID | O20170419002396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679926307 | NPI | - | NPPES |
| 1174984512 | Other | FL | NPI ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW13526 (Florida) | Primary |
| Provider Name | Juanita Chenault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174984512 PECOS PAC ID: 7012215460 Enrollment ID: I20170524000471 |
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