Organization
COGNITIVE HEALTH CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE DUDLEY (MANAGER)
(941) 529-0077
Entity
Organization
Contact information
Practice address
2801 FRUITVILLE RD STE 290, SARASOTA, FL 34237-5347
(941) 529-0077
(941) 529-0088
Mailing address
2801 FRUITVILLE RD STE 290, SARASOTA, FL 34237-5347
(941) 529-0077
(941) 529-0088
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
02/10/2025
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