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SARASOTA COUNTY HEALTH DEPT
CHC31892-04 Centerplace Health, Inc.
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Covered Entity Details
Entity Name
Centerplace Health, Inc.
Subdivision Name
Venice Family Services
Type
HRSA-Funded Health Center
340B ID
CHC31892-04
Entity Address
2350 Scenic Dr
Venice, FL 34293-1510
Grant Number
H80CS31892
Participating Start Date
4/1/2021
Last Recertification Date
1/31/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
SARASOTA COUNTY HEALTH DEPT
Pharmacy Address
NORTH PORT FAMILY HEALTH CENTER PHARMACY
6950 OUTREACH WAY
NORTH PORT, FL 34287-3405
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Melissa Jo Parker, Chief Executive Officer
(941) 529-0244
Contract Pharmacy Representative
Florida Department of Health - Sarasota
MICHAEL D'AMICO, Pharmceutical Program Manager
(941) 861-2932
Signed By Date
7/13/2021
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