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Organization
SMH PHYSICIAN SERVICES INC
Active
Organization
SMH PHYSICIAN SERVICES INC
Active
Other names
Siesta Key Med Assoc. - First Physicians Group of Sarasota
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELLA K SHAW (COO)
(941) 917-8720
Entity
Organization
Contact information
Practice address
5132 OCEAN BLVD, SARASOTA, FL 34242-1637
(941) 349-1411
(941) 346-0885
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 349-1411
(941) 346-0885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376537700
—
FL
Enumeration date
11/01/2005
Last updated
02/23/2009
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