Organization
BANYAN PEDIATRIC CARE CENTERS SARASOTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET HUFFMAN (CFO)
(941) 929-5450
Entity
Organization
Contact information
Practice address
3251 17TH ST UNIT 200, SARASOTA, FL 34235-8900
(941) 929-5450
Mailing address
850 3RD AVE S, ST PETERSBURG, FL 33701-4010
(727) 821-5439
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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