Organization
SARASOTA CARDIOVASCULAR & THORACIC SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA HORN (OFFICE MANAGER)
(941) 952-1947
Entity
Organization
Contact information
Practice address
1540 S TAMIAMI TRL, STE 301, SARASOTA, FL 34239-2921
(941) 952-1913
(941) 952-1969
Mailing address
1540 S TAMIAMI TRL, STE 301, SARASOTA, FL 34239-2921
(941) 952-1913
(941) 952-1969
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
586400296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267235900
—
FL
01
—
34714
BCBS GROUP PROVIDER #
FL
01
—
DA2018
RAILROAD MEDICARE GROUP #
FL
Enumeration date
06/15/2005
Last updated
01/21/2009
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