DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOVEREIGN PLASTIC SURGERY PLLC

MEDICARE: SOVEREIGN PLASTIC SURGERY PLLC
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
1208200000XPlastic Surgery PhysicianME103128FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BI1647OTHERFLMEDICARE PTAN
3DO9595OTHERFLMEDICARE RAILROAD PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2ME103128OTHERFLFLORIDA MEDICAL LICENSE

General Provider Information

NPI Number : 1780838763
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOVEREIGN PLASTIC SURGERY PLLC
Provider Business Mailing Address
First Line : 1950 ARLINGTON ST
Second Line : SUITE 112
City : SARASOTA
State : FL
Zip : 34239-3508
Country : US
Telephone Number : 941-366-5476
Fax Number : 941-866-7388
Provider Business Practice Location Address
First Line : 1950 ARLINGTON ST
Second Line : SUITE 112
City : SARASOTA
State : FL
Zip : 34239-3508
Country : US
Telephone Number : 941-366-5476
Fax Number : 941-866-7388
Authorized Official
Title or Position : OWNER
Name : ALISSA M SHULMAN
Credential : MD
Telephone Number : 941-366-5476
Provider Enumeration Date : 11/04/2008
Last Update Date : 10/12/2012

Similar Medicare Providers

1285528653 — CELESTE HEBRA GRANDE
Practice Location Address:
1950 ARLINGTON ST STE 101
SARASOTA, FL
34239-3508
Practice Phone: 941-917-3400
Practice Fax: 941-917-4300
1659352383 — DR. RICHARD H. BROWN M.D.
Practice Location Address:
1950 ARLINGTON ST STE 101
SARASOTA, FL
34239-3508
Practice Phone: 941-917-3400
Practice Fax: 941-917-4300
1659329217 — KENNETH L. MEREDITH M.D.
Practice Location Address:
1950 ARLINGTON ST STE 101
SARASOTA, FL
34239-3508
Practice Phone: 941-917-3400
Practice Fax: 941-917-4300
1851307615 — DR. SAMIR AGARWAL M.D.
Practice Location Address:
1950 ARLINGTON ST STE 101
SARASOTA, FL
34239-3508
Practice Phone: 941-917-3400
Practice Fax:
1306053020 — DR. STEPHEN THOMAS KUCERA M.D.
Practice Location Address:
1950 ARLINGTON ST STE 101
SARASOTA, FL
34239-3508
Practice Phone: 941-262-0400
Practice Fax: 941-262-0410
1356605018 — NIHAR NIKHILESH SHAH M.D.
Practice Location Address:
1950 ARLINGTON ST STE 101
SARASOTA, FL
34239-3508
Practice Phone: 941-262-0400
Practice Fax: 941-262-0410

Directions to “SOVEREIGN PLASTIC SURGERY PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.