# COGNITIVE HEALTH CENTERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902562663
- **Authorized official:** JESSIE DUDLEY (MANAGER)
- **Authorized official phone:** (941) 529-0077

## Contact information

- **Practice address:** 2801 FRUITVILLE RD STE 220, SARASOTA, FL 34237-5397
- **Practice address phone:** (941) 529-0077
- **Practice address fax:** (941) 529-0088
- **Mailing address:** 2801 FRUITVILLE RD STE 290, SARASOTA, FL 34237-5347
- **Mailing address phone:** (941) 529-0077
- **Mailing address fax:** (941) 529-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2021
- **Last updated:** 08/21/2026