Organization
PANEL OF ELECTROCARDIOLOGY OF SARASOTA MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA COSTOPOULOS (ADMINISTRATOR)
(941) 365-8532
Entity
Organization
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 365-8532
Mailing address
PO BOX 25548, SARASOTA, FL 34277-2548
(941) 365-8532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
12/26/2012
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