Organization Active NPI

Gulf Coast Health Travel and Immunization

Doing business as Passport Health of Sarasota

  • Clinic/Center
  • Sarasota, FL
National Provider Identifier
1255622833
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GULF COAST HEALTH TRAVEL AND IMMUNIZATION
Doing business as
Passport Health of Sarasota
Practice address
2195 Ringling Blvd
Sarasota, FL 34237-7003
Phone
(941) 362-0304
Fax
(941) 362-0593
NPI assigned
Apr 29, 2011
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Gail Ann Eldridge, R.N.
Title
Executive Director
Phone
(941) 362-0304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2195 Ringling Blvd
Sarasota, FL 34237-7003

Mailing address

2195 Ringling Blvd
Sarasota, FL 34237-7003
Phone (941) 362-0304

Other names 1

  • Passport Health of Sarasota Doing business as

National Provider Directory

National Provider Directory

Locations

2195 Ringling Blvd
Sarasota, FL 34237
Phone (941) 362-0304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1255622833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377003",
            "telephone_number": "941-362-0304",
            "fax_number": "941-362-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377003",
            "telephone_number": "941-362-0304",
            "fax_number": "941-362-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST HEALTH TRAVEL AND IMMUNIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "941-362-0304",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health of Sarasota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.