Organization
VASCULAR SPECIALIST OF VENICE AND SARASOTA PL
Active
Other names
Sarasota Interventional Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD EDMUND GRUBBS MD (OWNER)
(941) 378-3231
Entity
Organization
Contact information
Practice address
600 N. CATTLEMEN RD., SUITE 100, SARASOTA, FL 34232-6410
(941) 378-3231
(941) 378-3253
Mailing address
600 N CATTLEMEN RD, SUITE 100, SARASOTA, FL 34232-6422
(941) 378-3231
(941) 378-3253
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME63973
FL
208800000X
Urology Physician
ME119376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002LX
BCBS FL
FL
05
—
010369900
—
FL
01
—
DF6481
RR MEDICARE
FL
Enumeration date
09/26/2006
Last updated
05/07/2015
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