Sarasota Wellness and Weight Management LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

70754 Issued in FL

Legal business name

SARASOTA WELLNESS AND WEIGHT MANAGEMENT LLC

Practice address

8588 Potter Park Dr
St 201
Sarasota, FL 34238-5471

Phone

(941) 388-7457

Fax

(941) 256-3305

NPI assigned

Aug 3, 2012

Last updated

Aug 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clifford Lee Thacker, M.D.

Title

Owner

Phone

(941) 388-7457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1780930149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8588 POTTER PARK DR",
            "address_2": "ST 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385471",
            "telephone_number": "941-388-7457",
            "fax_number": "941-256-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8588 POTTER PARK DR",
            "address_2": "ST 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385471",
            "telephone_number": "941-388-7457",
            "fax_number": "941-256-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA WELLNESS AND WEIGHT MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-388-7457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "70754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarasota Surgical Specialists
• Sarasota Therapeutic Massage
• Sarasota Therapy Center
• Sarasota Therapy, LLC
• Sarasota Wellness & Medical Center
• Sarasota-Manatee Jewish Housing Council, Inc. (Benderson Family Skilled Nursing and Rehab Center)
• Souvik Sarkar, MD, PHD
• Diane Sarra, D.O.M.
• Sylwia Sasinowska, M.D.
• Joseph A Sassano, D.O.

• Health Service Clinic/Center in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.