# SARASOTA ORTHOPEDIC ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1962766576
- **Authorized official:** MICHEAL GORDON MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (941) 951-2663

## Contact information

- **Practice address:** 6230 UNIVERSITY PKWY, SUITE 203, LAKEWOOD RANCH, FL 34240-8604
- **Practice address phone:** (941) 951-2663
- **Practice address fax:** (941) 957-4437
- **Mailing address:** 2750 BAHIA VISTA ST, SUITE 100, SARASOTA, FL 34239-2600
- **Mailing address phone:** (941) 951-2663
- **Mailing address fax:** (941) 957-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 06/28/2012
- **Last updated:** 06/28/2012