Organization
GULF COAST PEDIATRICS OF SARASOTA, PA-C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN PEREZ M.D. (PRESIDENT)
(941) 412-1515
Entity
Organization
Contact information
Practice address
405 COMMERCIAL CT STE D, VENICE, FL 34292-1653
(941) 412-1515
(941) 412-1525
Mailing address
5664 BEE RIDGE RD, STE. 202, SARASOTA, FL 34233-1504
(941) 377-6406
(941) 377-6407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME56640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268427601
—
FL
Enumeration date
01/08/2007
Last updated
05/22/2012
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