Organization
ANDLOS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GREGORY CARLSON M.D. (MANAGER)
(941) 955-1815
Entity
Organization
Contact information
Practice address
2914 BEE RIDGE RD, SARASOTA, FL 34239-7117
(941) 955-1815
Mailing address
2914 BEE RIDGE RD, SARASOTA, FL 34239-7117
(941) 955-1815
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
ME51783
FL
261QH0100X
Health Service Clinic/Center
Primary
ME51783
FL
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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