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SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC NPI 1174861165


NPI Information

NPI: 1174861165
Provider Name: SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC

Doing Business As: SARASOTA SPINE & JOINT INTEGRATED MEDICAL

Classification: Internal Medicine - 207RS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
3900 CLARK RD
H-1
SARASOTA, FL
ZIP 34233
Phone: (941) 926-1600
Get Directions

SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC is a sports medicine internal medicine in Sarasota, FL. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC NPI is 1174861165. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sarasota Spine & Joint Integrated Medical.

The provider's business location address is:

3900 CLARK RD
H-1
SARASOTA, FL
ZIP 34233-301
Phone: (941) 926-1600
Fax: (941) 926-1166

The provider's authorized official is Jonathan Alan Berman .
The authorized official title is Owner and has the following contact phone number (941) 926-1600.

The enumeration date for this NPI number is 1/25/2013 and was last updated on 4/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RS0010XInternal MedicineSports MedicineYes
2332B00000XDurable Medical Equipment & Medical SuppliesNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17276950001OTHERFLORIDADME
2HA944AOTHERFLORIDAMEDICARE
3DU2456OTHERFLORIDARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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