| Organization Name: | ST. ANNE MEDICAL CENTER INC. |
| NPI Number: | 1063607539 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANNA MARIA STORINO (PRESIDENT) |
| Mailing Address: | 1495 Forest Hill Blvd Ste G Lake Clarke Shores |
| State: | FL US |
| Postal Code: | 334066073 |
| Phone Number: | 5619650009 |
| Fax Number: | 5619650432 |
| NPI Enumeration Date: | 09/07/2007 |
| NPI Last Update Date: | 09/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | HCC6022 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |