Organization
SUNCOAST ENDOSCOPY OF SARASOTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS A KUPERMAN (CFO)
(941) 952-1145
Entity
Organization
Contact information
Practice address
2089 HAWTHORNE ST, SUITE 100, SARASOTA, FL 34239-2308
(941) 952-1145
(941) 952-1175
Mailing address
2089 HAWTHORNE ST, SUITE 100, SARASOTA, FL 34239-2308
(941) 952-1145
(941) 952-1175
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
1146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10C0001378
CMS IDENTIFICATION NUMBER
FL
Enumeration date
06/30/2015
Last updated
06/30/2015
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