Organization Name: | SARASOTA MANATEE GERIATRICS LLC |
NPI Number: | 1013278662 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENEE HOPE FLETCHER (ARNP) |
Mailing Address: | 5120 Canterbury Dr Sarasota |
State: | FL US |
Postal Code: | 342434705 |
Phone Number: | 2069191593 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2012 |
NPI Last Update Date: | 05/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | ARNP3186252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |