Organization
YOUTHFUL AGING HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICCI KOBRITZ (DIRECTOR/CEO)
(941) 925-9532
Entity
Organization
Contact information
Practice address
5602 MARQUESAS CIR, SUITE 105, SARASOTA, FL 34233-3310
(941) 925-9532
(941) 925-9628
Mailing address
5602 MARQUESAS CIR, SUITE 105, SARASOTA, FL 34233-3310
(941) 925-9532
(941) 925-9628
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
03/12/2015
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