Provider Demographics
NPI:1619036050
Name:SARASOTA COUNTY BOARD OF COUNTY COMMISSIONERS
Entity type:Organization
Organization Name:SARASOTA COUNTY BOARD OF COUNTY COMMISSIONERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SUAREL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-861-5470
Mailing Address - Street 1:PO BOX 628250
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32862-8250
Mailing Address - Country:US
Mailing Address - Phone:305-459-0664
Mailing Address - Fax:305-421-0928
Practice Address - Street 1:1660 RINGLING BLVD
Practice Address - Street 2:6TH FLOOR
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-6808
Practice Address - Country:US
Practice Address - Phone:941-861-5442
Practice Address - Fax:941-861-5338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3149341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL084662700Medicaid
590004924OtherRAILROAD MEDICARE
FLA0565Medicare ID - Type Unspecified