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Contact Information

JESSICA E BANGORA, BA
1700 S TAMIAMI TRL
SARASOTA, FL34239-3509
 Phone: 941-487-5400
 Fax: 941-487-5430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for JESSICA E BANGORA · (Female)

NPI Number 1609903343
Status Active
Credentials BA
Entity Individual
Enumeration date 02/28/2007
Last updated 12/27/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL Medicaid 768288300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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