Organization
MD-PRP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENA AYOUB (OWNER)
(717) 350-4254
Entity
Organization
Contact information
Practice address
4020 SAWYER RD, SARASOTA, FL 34233-1272
(717) 350-4254
Mailing address
4020 SAWYER RD, SARASOTA, FL 34233-1272
(717) 350-4254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
06/11/2024
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