PEDIATRIC ASSOCIATES OF SARASOTA NPI 1528118726

NPI Information

NPI: 1528118726
Provider Name: PEDIATRIC ASSOCIATES OF SARASOTA
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1215 S EAST AVE
SUITE # 303
SARASOTA, FL
ZIP 34239
Phone: (941) 366-3000
Get Directions

PEDIATRIC ASSOCIATES OF SARASOTA is an adolescent medicine pediatrics in Sarasota, FL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC ASSOCIATES OF SARASOTA NPI is 1528118726. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1215 S EAST AVE
SUITE # 303
SARASOTA, FL
ZIP 34239-342
Phone: (941) 366-3000
Fax: (941) 366-3002

The provider's authorized official is Robert J Shamsey .
The authorized official title is President Owner and has the following contact phone number (941) 366-3000.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 6/4/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	ME34530	FLORIDA	No
2	2080A0000X	Pediatrics	Adolescent Medicine	ME57672	FLORIDA	No
3	2080A0000X	Pediatrics	Adolescent Medicine	ME80960	FLORIDA	No
4	2080A0000X	Pediatrics	Adolescent Medicine	ME22185	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45457500	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	045457500	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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