Most Relevant Information
Provider Data
| NPI Number: | 1003598145 |
| Provider Name: | ASTRIDE KOVACIK |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2023 |
| Last Updated: | 08/22/2023 |
Provider Practice Location
4630 17TH ST
SARASOTA
FL
342351843
Practice Location Phone/Fax
| Phone: | 9414875400 |
| Fax: | 9414875430 |
Provider Mailing Location
4630 17TH ST
SARASOTA
FL
342351843
Provider Mailing Phone/Fax
| Phone: | 9414875400 |
| Fax: | 9414875430 |