Organization
SMH PHYSICIAN SERVICES INC
Active
Other names
SMH Geriatrics-Sarasota Memorial Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELLA K. SHAW (COO)
(941) 917-8720
Entity
Organization
Contact information
Practice address
1921 WALDEMERE ST, SUITE 403, SARASOTA, FL 34239-2943
(941) 917-7197
(941) 917-4016
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-7197
(941) 917-4016
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
FL
2084P0805X
Geriatric Psychiatry Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376537700
—
FL
Enumeration date
08/17/2006
Last updated
01/05/2009
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