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Organization

THE ROSKAMP FOUNDATION IRRV

Active
Other names
Roskamp Memory Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
PETER PARSONSON (EXECUTIVE DIRECTOR)
(941) 256-8018
Entity
Organization

Contact information

Practice address
2040 WHITFIELD AVE, SARASOTA, FL 34243-3922
(941) 256-8018
Mailing address
2040 WHITFIELD AVE, SARASOTA, FL 34243-3922
(941) 256-8018

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BLUE SHIELD
34871
FL
Enumeration date
09/20/2006
Last updated
09/11/2025
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