Provider Demographics
NPI:1538393277
Name:JANE ZARZECKI, PH.D., PLLC
Entity type:Organization
Organization Name:JANE ZARZECKI, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARZECKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:941-296-1667
Mailing Address - Street 1:4370 S TAMIAMI TRL STE 310
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3495
Mailing Address - Country:US
Mailing Address - Phone:941-296-1667
Mailing Address - Fax:941-296-1668
Practice Address - Street 1:4370 S TAMIAMI TRL
Practice Address - Street 2:SUITE 237
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3412
Practice Address - Country:US
Practice Address - Phone:941-923-9401
Practice Address - Fax:941-923-8294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-10
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 0005220261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
535325Medicare UPIN