1467331868 NPI number — HOME HEART FLORIDA SUNCOAST, INC.

Table of content: JACK JAMES KOERNER STUDENT (NPI 1154986925)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467331868 NPI number — HOME HEART FLORIDA SUNCOAST, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME HEART FLORIDA SUNCOAST, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467331868
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3801 BEE RIDGE RD STE 7D
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SARASOTA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34233-1157
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-721-1433
Provider Business Mailing Address Fax Number:
800-861-7509

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3801 BEE RIDGE RD STE 7D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SARASOTA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34233-1157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
844-721-1433
Provider Business Practice Location Address Fax Number:
800-861-7509
Provider Enumeration Date:
08/29/2025

Additional Information

Authorized Official

Authorized Official Last Name:
GALBRAITH
Authorized Official First Name:
ARIANNA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
844-721-1433

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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