| University Healthcare Associates Llc | |
|
2401 University Pkwy Ste 206 Sarasota FL 34243-2973 | |
| (941) 355-0110 | |
| (941) 355-0135 |
| Full Name | University Healthcare Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2401 University Pkwy Ste 206, Sarasota, Florida |
| Authorized Official Name and Position | Kimberly Ott (OWNER) |
| Authorized Official Contact | 9413550110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Healthcare Associates Llc 2401 University Pkwy Ste 206 Sarasota FL 34243-2973 Ph: (941) 355-0110 | University Healthcare Associates Llc 2401 University Pkwy Ste 206 Sarasota FL 34243-2973 Ph: (941) 355-0110 |
| NPI Number | 1164197257 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 08/11/2021 |
| Medicare PECOS PAC ID | 3476959594 |
|---|---|
| Medicare Enrollment ID | O20210914003877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164197257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Diego Fallon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932174794 PECOS PAC ID: 5092711937 Enrollment ID: I20110315001082 |
| Provider Name | James W Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285049833 PECOS PAC ID: 0143534651 Enrollment ID: I20180119000880 |
| Provider Name | Kimberly Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023602141 PECOS PAC ID: 9234538489 Enrollment ID: I20210520002162 |
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