Organization
START CARE PPEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CRUZ LASSALLE (ADMINISTRATOR)
(786) 461-5784
Entity
Organization
Contact information
Practice address
1945 NORTHGATE BLVD, SARASOTA, FL 34234-2143
(786) 461-5784
Mailing address
3991 PALAU DR, SARASOTA, FL 34241-5842
(786) 461-5784
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/29/2023
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