| Preventive Medicine Of Sarasota, Pa | |
|
9114 Town Center Pkwy Lakewood Ranch FL 34202-5053 | |
| (941) 351-4949 | |
| (941) 351-3033 |
| Full Name | Preventive Medicine Of Sarasota, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9114 Town Center Pkwy, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Joseph Bubinak (PRESIDENT) |
| Authorized Official Contact | 9414004965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Medicine Of Sarasota, Pa 1853 Grove St Sarasota FL 34239-4509 Ph: (941) 366-3848 | Preventive Medicine Of Sarasota, Pa 9114 Town Center Pkwy Lakewood Ranch FL 34202-5053 Ph: (941) 351-4949 |
| NPI Number | 1821476375 |
|---|---|
| Provider Enumeration Date | 05/15/2015 |
| Last Update Date | 05/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821476375 | NPI | - | NPPES |
| B152-486-42-373-0 | Other | FL | DRIVER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME29207 (Florida) | Primary |
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