Individual
DR. DANA SUZANNE FABIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5573 MARQUESAS CIR UNIT 9B, SARASOTA, FL 34233-3332
(941) 922-4264
(941) 922-4265
Mailing address
5573 MARQUESAS CIR UNIT 9B, SARASOTA, FL 34233-3332
(440) 463-3975
(941) 922-4264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 105776
FL
207Q00000X
Family Medicine Physician
ME105776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003994500
—
FL
01
—
P01010957
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
07/16/2010
Last updated
01/29/2018
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