Individual
JOHN M AVERYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5731 BEE RIDGE RD, SARASOTA, FL 34233-5056
(941) 342-1072
(210) 575-6298
Mailing address
5731 BEE RIDGE RD, SARASOTA, FL 34233-5056
(941) 342-1072
(210) 575-6298
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L2115
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME 121443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147669901
—
TX
Enumeration date
06/06/2006
Last updated
04/28/2016
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