| Eldercare Of Sarasota, Pllc | |
|
807 Whooping Crane Ct Bradenton FL 34212-5234 | |
| (413) 658-7138 | |
| Not Available |
| Full Name | Eldercare Of Sarasota, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 807 Whooping Crane Ct, Bradenton, Florida |
| Authorized Official Name and Position | Joseph Philip Coppola (OWNER) |
| Authorized Official Contact | 4136587138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eldercare Of Sarasota, Pllc 807 Whooping Crane Ct Bradenton FL 34212-5234 Ph: (413) 658-7138 | Eldercare Of Sarasota, Pllc 807 Whooping Crane Ct Bradenton FL 34212-5234 Ph: (413) 658-7138 |
| NPI Number | 1609297555 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 12/19/2013 |
| Medicare PECOS PAC ID | 5597995357 |
|---|---|
| Medicare Enrollment ID | O20140224001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609297555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS7713 (Florida) | Primary |
| Provider Name | Edward W Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366763336 PECOS PAC ID: 6800035312 Enrollment ID: I20210927002362 |
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