| Jeanloz Therapy Llc | |
|
12700 N Branch Rd Sarasota FL 34240-9003 | |
| (941) 451-7568 | |
| Not Available |
| Full Name | Jeanloz Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12700 N Branch Rd, Sarasota, Florida |
| Authorized Official Name and Position | Sylvie Anne Jeanloz (OWNER) |
| Authorized Official Contact | 9414517568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanloz Therapy Llc 12700 N Branch Rd Sarasota FL 34240-9003 Ph: (941) 371-3901 | Jeanloz Therapy Llc 12700 N Branch Rd Sarasota FL 34240-9003 Ph: (941) 451-7568 |
| NPI Number | 1033872163 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 10/15/2021 |
| Certification Date | 10/15/2021 |
| Medicare PECOS PAC ID | 2961895248 |
|---|---|
| Medicare Enrollment ID | O20220209001243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033872163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sylvie A Jeanloz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063766590 PECOS PAC ID: 1456577386 Enrollment ID: I20140729001551 |
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