Organization
SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC
Active
Organization
SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC
Active
Other names
Sarasota Spine & Joint Integrated Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ALAN BERMAN DC (OWNER)
(941) 926-1600
Entity
Organization
Contact information
Practice address
3900 CLARK RD, H-1, SARASOTA, FL 34233-2301
(941) 926-1600
(941) 926-1166
Mailing address
3900 CLARK RD, H-1, SARASOTA, FL 34233-2301
(941) 926-1600
(941) 926-1166
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7276950001
DME
FL
01
—
DU2456
RR MEDICARE
FL
01
—
HA944A
MEDICARE
FL
Enumeration date
01/25/2013
Last updated
04/09/2018
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