| Sarasota Spine & Sport Chiropractic Clinic | |
|
5517 21st Ave W Ste F Bradenton FL 34209-5604 | |
| (941) 321-9002 | |
| (941) 926-1166 |
| Full Name | Sarasota Spine & Sport Chiropractic Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 5517 21st Ave W Ste F, Bradenton, Florida |
| Authorized Official Name and Position | Jonathan A Berman (OWNER) |
| Authorized Official Contact | 9419261600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarasota Spine & Sport Chiropractic Clinic 3900 Clark Rd Ste H1 Sarasota FL 34233-2366 Ph: (941) 926-1600 | Sarasota Spine & Sport Chiropractic Clinic 5517 21st Ave W Ste F Bradenton FL 34209-5604 Ph: (941) 321-9002 |
| NPI Number | 1003330838 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 8426293127 |
|---|---|
| Medicare Enrollment ID | O20170802003211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003330838 | NPI | - | NPPES |
| 7276950002 | Other | FL | DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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