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SARASOTA MEDICAL CLINIC PA NPI 1760415574


NPI Information

NPI: 1760415574
Provider Name: SARASOTA MEDICAL CLINIC PA
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
5640 MARQUESAS CIR
SARASOTA, FL
ZIP 34233
Phone: (941) 921-5741
Get Directions

SARASOTA MEDICAL CLINIC PA is a neuromusculoskeletal medicine sports medicine in Sarasota, FL. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ SARASOTA MEDICAL CLINIC PA NPI is 1760415574. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5640 MARQUESAS CIR
SARASOTA, FL
ZIP 34233-331
Phone: (941) 921-5741
Fax: (941) 927-5746

The provider's authorized official is Avery R. Dye .
The authorized official title is Billing and has the following contact phone number (941) 921-5741.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 11/8/2010.


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
1111N00000XChiropractorNo
2207Q00000XFamily MedicineNo
3204C00000XNeuromusculoskeletal Medicine, Sports MedicineYes

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
1K4599MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP NUMBER

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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