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Organization
VASCULAR SPECIALIST OF VENICE AND SARASOTA PL
Active
Organization
VASCULAR SPECIALIST OF VENICE AND SARASOTA PL
Active
Other names
Sarasota Interventional Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD EDMUND GRUBBS MD (OWNER)
(941) 378-3231
Entity
Organization
Contact information
Practice address
600 N. CATTLEMEN RD., SUITE 100, SARASOTA, FL 34232-6410
(941) 378-3231
(941) 378-3253
Mailing address
600 N CATTLEMEN RD, SUITE 100, SARASOTA, FL 34232-6422
(941) 378-3231
(941) 378-3253
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME63973
FL
208800000X
Urology Physician
ME119376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002LX
BCBS FL
FL
05
—
010369900
—
FL
01
—
DF6481
RR MEDICARE
FL
Enumeration date
09/26/2006
Last updated
05/07/2015
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