Organization
SARASOTA ORTHOPEDIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MORTON (CREDENTIALING COORDINATOR)
(941) 951-2663
Entity
Organization
Contact information
Practice address
6230 UNIVERSITY PKWY, SUITE 203, LAKEWOOD RANCH, FL 34240-8604
(813) 448-3848
Mailing address
311 PARK PLACE BLVD, 5TH FLOOR, CLEARWATER, FL 33759-4904
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273705100
—
FL
Enumeration date
05/14/2015
Last updated
05/14/2015
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