Organization
IMMINENT SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI ZIAD AL-RAWI (OWNER)
(941) 404-6211
Entity
Organization
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 404-6211
(877) 274-4518
Mailing address
PO BOX 15365, SARASOTA, FL 34277-1365
(941) 404-6211
(877) 274-4518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME113621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014458600
—
FL
Enumeration date
02/10/2015
Last updated
11/17/2022
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