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Organization

PINES OF SARASOTA HEALTHCARE, LLC

Active
Other names
Pines of Sarasota
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE WARD (PRESIDENT/CEO)
(941) 365-0250
Entity
Organization

Contact information

Practice address
1501 N ORANGE AVE, SARASOTA, FL 34236-2631
(941) 365-0250
(941) 365-4121
Mailing address
1501 N ORANGE AVE, SARASOTA, FL 34236-2631
(941) 365-0250
(941) 365-4121

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
7450
FL
314000000X
Skilled Nursing Facility
Primary
SNF1443095
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015910900
FL
Enumeration date
10/16/2015
Last updated
07/06/2020
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