Organization
PEDIATRICS OF SARASOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHHAD S FATMI MD (PRESIDENT)
(941) 355-0687
Entity
Organization
Contact information
Practice address
1951 NORTHGATE BLVD, SARASOTA, FL 34234
(941) 355-0687
(941) 358-0417
Mailing address
1951 NORTHGATE BLVD, SARASOTA, FL 34234
(941) 355-0687
(941) 358-0417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0076197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43710
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/09/2007
Last updated
08/22/2020
Update your record
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