# SARASOTA ORTHOPEDIC ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396114138
- **Authorized official:** ROBIN JUSTICE (DIRECTOR OF BILLING AND COLLECTIONS)
- **Authorized official phone:** (941) 951-2663

## Contact information

- **Practice address:** 435 COMMERCIAL CT, SUITE 100, VENICE, FL 34292-1658
- **Practice address phone:** (941) 951-2663
- **Practice address fax:** (941) 552-3312
- **Mailing address:** 2750 BAHIA VISTA ST, 100, SARASOTA, FL 34239-2600
- **Mailing address phone:** (941) 951-2663
- **Mailing address fax:** (941) 552-3312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |

## Other

- **Enumeration date:** 09/23/2015
- **Last updated:** 09/23/2015