# SARASOTA MEN CLINIC INC

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

## Provider details

- **NPI number:** 1811123367
- **Authorized official:** MR. JOHAN CALVO (PRESIDENT)
- **Authorized official phone:** (305) 335-1823

## Contact information

- **Practice address:** 625 NE 164 ST, NORTH MIAMI BEACH, FL 33162-3623
- **Practice address phone:** (941) 552-8667
- **Practice address fax:** (941) 552-8668
- **Mailing address:** 2250 GULF GATE DR, STE B, SARASOTA, FL 34231-4838
- **Mailing address phone:** (941) 552-8667
- **Mailing address fax:** (941) 552-8668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 263631786 | FL | Yes |

## Other

- **Enumeration date:** 06/10/2009
- **Last updated:** 06/10/2009