MEDICARE: GULFSHORE CARDIOLOGY PL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	OS7384	FL

General Provider Information

NPI Number	:	1659568244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULFSHORE CARDIOLOGY PL

Provider Business Mailing Address
First Line	:	1961 FLOYD ST
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-2931
Country	:	US
Telephone Number	:	941-650-8224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1961 FLOYD ST
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-2931
Country	:	US
Telephone Number	:	941-650-8224
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. E THOMAS ARNE
Credential	:	DO
Telephone Number	:	941-650-8224

Provider Enumeration Date	:	09/27/2007
Last Update Date	:	02/13/2008

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