| Smh Geriatrics-sarasota Memorial Physician Group | |
|
1921 Waldemere St Suite 403 Sarasota FL 34239-2943 | |
| (941) 917-7197 | |
| (941) 917-4016 |
| Full Name | Smh Geriatrics-sarasota Memorial Physician Group |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1921 Waldemere St, Sarasota, Florida |
| Authorized Official Name and Position | Della K. Shaw (COO) |
| Authorized Official Contact | 9419178720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smh Geriatrics-sarasota Memorial Physician Group Po Box 863407 Orlando FL 32886-3407 Ph: (941) 917-7197 | Smh Geriatrics-sarasota Memorial Physician Group 1921 Waldemere St Suite 403 Sarasota FL 34239-2943 Ph: (941) 917-7197 |
| NPI Number | 1902919236 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 01/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902919236 | NPI | - | NPPES |
| 376537700 | Medicaid | FL |
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