Organization
AZURE MEDICAL GROUP, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. MICHAEL HARRIS M.D. (OWNER)
(941) 366-4440
Entity
Organization
Contact information
Practice address
2750 BAHIA VISTA ST, SUITE 270, SARASOTA, FL 34239-2600
(941) 366-4440
(941) 366-2049
Mailing address
2750 BAHIA VISTA ST, SUITE 270, SARASOTA, FL 34239-2600
(941) 366-4440
(941) 366-2049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34574
BCBS
FL
01
—
DB2018
MCR RR
FL
Enumeration date
04/19/2006
Last updated
04/20/2008
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