| Sarasota Center For Physical Medicine Llc | |
|
7222 S Tamiami Trl Sarasota FL 34231-5567 | |
| (941) 921-4884 | |
| Not Available |
| Full Name | Sarasota Center For Physical Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7222 S Tamiami Trl, Sarasota, Florida |
| Authorized Official Name and Position | Justin M Durfee (OWNER) |
| Authorized Official Contact | 9419214884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarasota Center For Physical Medicine Llc 7222 S Tamiami Trl 105 Sarasota FL 34231-5567 Ph: (941) 921-4884 | Sarasota Center For Physical Medicine Llc 7222 S Tamiami Trl Sarasota FL 34231-5567 Ph: (941) 921-4884 |
| NPI Number | 1568914117 |
|---|---|
| Provider Enumeration Date | 10/31/2016 |
| Last Update Date | 02/15/2019 |
| Medicare PECOS PAC ID | 4789923368 |
|---|---|
| Medicare Enrollment ID | O20190226000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568914117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH11310 (Florida) | Primary |
| Provider Name | George N Coffey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386975092 PECOS PAC ID: 9931239779 Enrollment ID: I20100604000876 |
| Provider Name | John W Hopkins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649277716 PECOS PAC ID: 4486816311 Enrollment ID: I20120510000154 |
| Provider Name | Erik T Wenzel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124447669 PECOS PAC ID: 1951528678 Enrollment ID: I20140804001359 |
| Provider Name | Justin Durfee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609279900 PECOS PAC ID: 5395967236 Enrollment ID: I20141110001926 |
| Provider Name | Megan N Pearce |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972804508 PECOS PAC ID: 3971852005 Enrollment ID: I20180822001092 |
| Provider Name | Jordan S Sanderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184079881 PECOS PAC ID: 0840530325 Enrollment ID: I20190320000525 |
| Provider Name | Jennifer M Schueler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144678616 PECOS PAC ID: 7911298765 Enrollment ID: I20190603001007 |
| Provider Name | Garett B Bardin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043421969 PECOS PAC ID: 6002248986 Enrollment ID: I20191114001047 |
| Provider Name | James Kendel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700013075 PECOS PAC ID: 3476608514 Enrollment ID: I20200812000220 |
| Provider Name | Rebecca Patton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477621571 PECOS PAC ID: 7911899679 Enrollment ID: I20201203001626 |
| Provider Name | James B Heck |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912332057 PECOS PAC ID: 7416179353 Enrollment ID: I20210114001341 |
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