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Organization
SARASOTA MEDICAL CLINIC PA
Active
Organization
SARASOTA MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AVERY R. DYE (BILLING)
(941) 921-5741
Entity
Organization
Contact information
Practice address
5640 MARQUESAS CIR, SARASOTA, FL 34233-3331
(941) 921-5741
(941) 927-5746
Mailing address
5640 MARQUESAS CIR, SARASOTA, FL 34233-3331
(941) 921-5741
(941) 927-5746
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
07/08/2006
Last updated
11/08/2010
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