Organization
SARASOTA ORTHOPEDIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN JUSTICE (DIRECTOR OF BILLING AND COLLECTIONS)
(941) 951-2663
Entity
Organization
Contact information
Practice address
435 COMMERCIAL CT, SUITE 100, VENICE, FL 34292-1658
(941) 951-2663
(941) 552-3312
Mailing address
2750 BAHIA VISTA ST, 100, SARASOTA, FL 34239-2600
(941) 951-2663
(941) 552-3312
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061701600
—
FL
Enumeration date
09/23/2015
Last updated
09/23/2015
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