Provider Demographics
NPI:1699911925
Name:FINAO LLC
Entity type:Organization
Organization Name:FINAO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/COO
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-706-1080
Mailing Address - Street 1:615 W CARMEL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5504
Mailing Address - Country:US
Mailing Address - Phone:317-706-1080
Mailing Address - Fax:
Practice Address - Street 1:2020 CATTLEMEN RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6243
Practice Address - Country:US
Practice Address - Phone:941-556-7096
Practice Address - Fax:941-556-7097
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FINAO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-16
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8287261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCJ493Medicare PIN