| Manasota Medical Group Llc | |
|
1250 S Tamiami Trl Suite 301 Sarasota FL 34239-2221 | |
| (941) 365-7771 | |
| (941) 365-4071 |
| Full Name | Manasota Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1250 S Tamiami Trl, Sarasota, Florida |
| Authorized Official Name and Position | Bart E. Price, Md (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9413657771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manasota Medical Group Llc 1250 S Tamiami Trl Suite 301 Sarasota FL 34239-2221 Ph: (941) 365-7771 | Manasota Medical Group Llc 1250 S Tamiami Trl Suite 301 Sarasota FL 34239-2221 Ph: (941) 365-7771 |
| NPI Number | 1487800025 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 12/20/2011 |
| Medicare PECOS PAC ID | 8426110248 |
|---|---|
| Medicare Enrollment ID | O20090102000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487800025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Petra Travnicek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114919149 PECOS PAC ID: 8820991680 Enrollment ID: I20040129000315 |
| Provider Name | Bart E Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427040591 PECOS PAC ID: 4284537184 Enrollment ID: I20090102000255 |
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