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Organization

MEDICAL PROVIDERS INC.

Active
Other names
SARASOTA MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD WILLIAM DONOVAN JR. P.A.-C (PRESIDENT)
(941) 927-1234
Entity
Organization

Contact information

Practice address
4450 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34231-3454
(941) 927-1234
(941) 921-0043
Mailing address
4450 S TAMIAMI TRL, SARASOTA, FL 34231-3454
(941) 927-1234
(941) 921-0043

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PA1805
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
324172
COVENTRY
FL
01
511926
CARE CHOICES
FL
01
5500285
GHI
FL
01
615420
HARVARD PILGRIM HPHC
FL
01
8208458
AETNA
FL
01
98400
BCBS
FL
01
CJ0514
RAIL ROAD MEDICARE
FL
Enumeration date
01/31/2007
Last updated
10/20/2008
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