Sarasota Family Medical Inc | |
6813 S Tamiami Trl Sarasota FL 34231-5603 | |
(941) 923-5861 | |
(941) 926-4547 |
Full Name | Sarasota Family Medical Inc |
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Speciality | Family Medicine |
Location | 6813 S Tamiami Trl, Sarasota, Florida |
Authorized Official Name and Position | Claude J. Mason (OWNER) |
Authorized Official Contact | 9419235861 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sarasota Family Medical Inc 6813 S Tamiami Trl Sarasota FL 34231-5603 Ph: (941) 923-5861 | Sarasota Family Medical Inc 6813 S Tamiami Trl Sarasota FL 34231-5603 Ph: (941) 923-5861 |
NPI Number | 1558584565 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 09/18/2008 |
Medicare PECOS PAC ID | 5496849341 |
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Medicare Enrollment ID | O20070922000001 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558584565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0079271 (Florida) | Primary |
207Q00000X | Family Medicine | ME57727 (Florida) | Secondary |
Provider Name | John Meyer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801828041 PECOS PAC ID: 8224931621 Enrollment ID: I20040524001062 |
Provider Name | Richard L Llerena |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1295758811 PECOS PAC ID: 1658337779 Enrollment ID: I20041210000734 |
Provider Name | David A Letts |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588667216 PECOS PAC ID: 0547256091 Enrollment ID: I20050601000553 |
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