Future Leaders Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FUTURE LEADERS INC

Practice address

4123 N Tamiami TRL
Sarasota, FL 34234-4347

Phone

(813) 816-5209

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Roderick Dwayne Green

Title

Director

Phone

(813) 816-5209

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1841943073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 N TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342344347",
            "telephone_number": "813-816-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 N TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342344347",
            "telephone_number": "813-816-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE LEADERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-816-5209"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024158200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L. Furman, DMD
• Walter K Furman, MD
• Bambi Furtado, LMHC
• Andrea Ruth Fusco, CRNA
• Lisa Anastasia Fusco, MD
• FWC Urogynecology, LLC
• FWC Urogynecology, LLC
• FWC Urogynecology, LLC
• Fyziogym, PLLC
• G Michael Swor M D P a

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.