Organization
PEDIATRIC ASSOCIATES OF SARASOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J SHAMSEY MD (PRESIDENT OWNER)
(941) 366-3000
Entity
Organization
Contact information
Practice address
1215 S EAST AVE, SUITE # 303, SARASOTA, FL 34239-2342
(941) 366-3000
(941) 366-3002
Mailing address
1215 S EAST AVE, SUITE # 303, SARASOTA, FL 34239-2342
(941) 366-3000
(941) 366-3002
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME22185
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME34530
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME57672
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME80960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045457500
—
FL
Enumeration date
01/11/2007
Last updated
06/04/2012
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