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GASTROENTEROLOGY ASSOC. OF SARASOTA NPI 1477605939


NPI Information

NPI: 1477605939
Provider Name: GASTROENTEROLOGY ASSOC. OF SARASOTA

Doing Business As: FDHS

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D0719117

Address:
2089 HAWTHORNE ST
SUITE 200
SARASOTA, FL
ZIP 34239
Phone: (941) 365-6556
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GASTROENTEROLOGY ASSOC. OF SARASOTA is a specialist in Sarasota, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GASTROENTEROLOGY ASSOC. OF SARASOTA NPI is 1477605939. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fdhs.

The provider's business location address is:

2089 HAWTHORNE ST
SUITE 200
SARASOTA, FL
ZIP 34239-308
Phone: (941) 365-6556
Fax: (941) 365-6678

The provider's authorized official is Debra Davidson .
The authorized official title is Practice Administrator and has the following contact phone number (941) 556-1415.

The CLIA number assigned to this NPI record is 10D0719117 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 1/30/2014.


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
1174400000XSpecialistFLORIDAYes

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
1100003264OTHERRAILROAD MEDICARE
297553MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE ID
3P00092139OTHERRAILROAD MEDICARE
4100016526OTHERRAILROAD MEDICARE
5100003263OTHERRAILROAD 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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