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Organization
LAKEWOOD RANCH PREMIER CARE
Active
Organization
LAKEWOOD RANCH PREMIER CARE
Active
Parent organization
LAKEWOOD RANCH PREMIER CARE
Other names
(dba) Sarasota Center for Family Health & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEWOOD RANCH PREMIER CARE
Authorized official
DR. LAURA L HERSHORIN MD (OWNER)
(941) 364-4411
Entity
Organization
Contact information
Practice address
6120 53RD AVE E, BRADENTON, FL 34203
(941) 364-4411
(941) 364-4466
Mailing address
6120 53RD AVE E, BRADENTON, FL 34203
(941) 364-4411
(941) 364-4466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005M
BCBS OF FL
FL
05
—
001317700
—
FL
Enumeration date
07/09/2009
Last updated
01/10/2014
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