Organization
ATLANTIC COVE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLINS EZEUKA M.D. (CEO)
(818) 554-0112
Entity
Organization
Contact information
Practice address
1949 NORTHGATE BLVD, SARASOTA, FL 34234-2143
(941) 208-3070
(941) 208-3067
Mailing address
5342 CLARK RD # 3072, SARASOTA, FL 34233-3227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/12/2023
Last updated
02/11/2026
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