Provider Demographics
NPI:1205686268
Name:CLOSEDLOOPCLINIC
Entity type:Organization
Organization Name:CLOSEDLOOPCLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTIU SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-955-6329
Mailing Address - Street 1:13867 LILAC SKY TER
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34211-7203
Mailing Address - Country:US
Mailing Address - Phone:813-955-6329
Mailing Address - Fax:813-441-7384
Practice Address - Street 1:1219 S EAST AVE STE 206
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2355
Practice Address - Country:US
Practice Address - Phone:813-955-6329
Practice Address - Fax:813-441-7384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty