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3920 Bee Ridge Rd Bldg B Ste A Sarasota FL 34233-1207 | |
| (941) 363-1370 | |
| (915) 331-7897 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3920 Bee Ridge Rd Bldg B, Sarasota, Florida |
| Authorized Official Name and Position | Virginia Moreno Thornley (NEUROLOGIST) |
| Authorized Official Contact | 9413631370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3920 Bee Ridge Rd Bldg B Ste A Sarasota FL 34233-1207 Ph: (941) 363-1370 | 3920 Bee Ridge Rd Bldg B Ste A Sarasota FL 34233-1207 Ph: (941) 363-1370 |
| NPI Number | 1982220307 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 0244657989 |
|---|---|
| Medicare Enrollment ID | O20200826003670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982220307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Virginia Moreno Thornley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932204310 PECOS PAC ID: 0446218432 Enrollment ID: I20180321002158 |
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