| Sarasota Bay Clinic | |
|
3920 Bee Ridge Rd Ste E Sarasota FL 34233-1207 | |
| (941) 777-0002 | |
| (941) 777-0036 |
| Full Name | Sarasota Bay Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3920 Bee Ridge Rd Ste E, Sarasota, Florida |
| Authorized Official Name and Position | Ehab Michael (PHYSICIAN AND OWNER) |
| Authorized Official Contact | 6053215111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarasota Bay Clinic 3920 Bee Ridge Rd Ste E Sarasota FL 34233-1207 Ph: (941) 777-0002 | Sarasota Bay Clinic 3920 Bee Ridge Rd Ste E Sarasota FL 34233-1207 Ph: (941) 777-0002 |
| NPI Number | 1306547286 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 05/28/2024 |
| Medicare PECOS PAC ID | 9638544687 |
|---|---|
| Medicare Enrollment ID | O20230405002157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306547286 | NPI | - | NPPES |
| QN678 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Ehab S Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710929757 PECOS PAC ID: 3971554643 Enrollment ID: I20140326000103 |
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