| NPI | 1255622833 |
|---|---|
| Doing Business As | PASSPORT HEALTH OF SARASOTA |
| Entity Type | Organization |
| Authorized Contact | GAIL ANN ELDRIDGE Executive Director 941-362-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |