| Sarasota Neurology P A | |
|
3501 Cattlemen Rd Suite B Sarasota FL 34232-6055 | |
| (941) 955-5858 | |
| (941) 955-0044 |
| Full Name | Sarasota Neurology P A |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3501 Cattlemen Rd, Sarasota, Florida |
| Authorized Official Name and Position | V Daniel Kassicieh (PRESIDENT, OWNER) |
| Authorized Official Contact | 9419555858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarasota Neurology P A 3501 Cattlemen Rd Suite B Sarasota FL 34232-6055 Ph: (941) 955-5858 | Sarasota Neurology P A 3501 Cattlemen Rd Suite B Sarasota FL 34232-6055 Ph: (941) 955-5858 |
| NPI Number | 1356554158 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 12/20/2011 |
| Medicare PECOS PAC ID | 7315018512 |
|---|---|
| Medicare Enrollment ID | O20080616000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356554158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | OS5188 (Florida) | Primary |
| Provider Name | Victor D Kassicieh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457381808 PECOS PAC ID: 2264503465 Enrollment ID: I20080616000540 |
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