Provider Demographics
NPI:1528461209
Name:MAPS PORT CHARLOTTE
Entity type:Organization
Organization Name:MAPS PORT CHARLOTTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C F O
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-545-7564
Mailing Address - Street 1:946 TAMIAMI TRL
Mailing Address - Street 2:UNIT 201
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33953-3159
Mailing Address - Country:US
Mailing Address - Phone:941-613-0951
Mailing Address - Fax:
Practice Address - Street 1:946 TAMIAMI TRL
Practice Address - Street 2:UNIT 201
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33953-3159
Practice Address - Country:US
Practice Address - Phone:941-613-0951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPERATION PAR, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health