| Suncoast Endoscopy Of Sarasota, Llc | |
|
2089 Hawthorne St Suite 100 Sarasota FL 34239-2308 | |
| (941) 952-1145 | |
| (941) 952-1175 |
| Full Name | Suncoast Endoscopy Of Sarasota, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2089 Hawthorne St, Sarasota, Florida |
| Authorized Official Name and Position | Marc Louis Bernstein (CFO) |
| Authorized Official Contact | 9419521145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Endoscopy Of Sarasota, Llc 2089 Hawthorne St Suite 100 Sarasota FL 34239-2308 Ph: (941) 952-1145 | Suncoast Endoscopy Of Sarasota, Llc 2089 Hawthorne St Suite 100 Sarasota FL 34239-2308 Ph: (941) 952-1145 |
| NPI Number | 1881627578 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 09/14/2022 |
| Medicare PECOS PAC ID | 2466342027 |
|---|---|
| Medicare Enrollment ID | O20040317000994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881627578 | NPI | - | NPPES |
| 075374200 | Medicaid | FL | |
| 7939417 | Other | AETNA | |
| 6B1 | Other | BCBS | |
| 0753742 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1146 (Florida) | Secondary |
| 261QE0800X | Clinic/center - Endoscopy | (* (Not Available)) | Primary |
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