Organization
SAR MEDICAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MARK ROSS MD,PH.D. (MEDICAL DIRECTOR/OWNER)
(941) 979-5200
Entity
Organization
Contact information
Practice address
2811 TAMIAMI TRL STE Q, PORT CHARLOTTE, FL 33952
(941) 979-5200
(941) 979-5201
Mailing address
PO BOX 380877, MURDOCK, FL 33938-0877
(941) 979-5200
(941) 979-5201
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
PMC1756
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1756
PMC
FL
Enumeration date
05/02/2012
Last updated
05/16/2018
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