| Surety Inc. | |
|
266 Miami Ave W Ste B Venice FL 34285-2320 | |
| (941) 586-8966 | |
| (941) 496-7860 |
| Full Name | Surety Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 266 Miami Ave W Ste B, Venice, Florida |
| Authorized Official Name and Position | Ellen Fiorillo (PRESIDENT) |
| Authorized Official Contact | 9415868966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surety Inc. 1132 S Cypress Point Dr Venice FL 34293-1316 Ph: (941) 586-8966 | Surety Inc. 266 Miami Ave W Ste B Venice FL 34285-2320 Ph: (941) 586-8966 |
| NPI Number | 1750795720 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750795720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH5964 (Florida) | Primary |
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