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NPI Code Detail

MEDICARE: SARASOTA PLASTIC SURGERY CENTER INC

MEDICARE: SARASOTA PLASTIC SURGERY CENTER INC
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
1261QA1903XAmbulatory Surgical Clinic/CenterFL

General Provider Information

NPI Number : 1871644096
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARASOTA PLASTIC SURGERY CENTER INC
Provider Business Mailing Address
First Line : 2255 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3806
Country : US
Telephone Number : 941-366-8897
Fax Number : 941-366-0518
Provider Business Practice Location Address
First Line : 2255 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3806
Country : US
Telephone Number : 941-366-8897
Fax Number : 941-366-0518
Authorized Official
Title or Position : CEO ADMINISTRATOR
Name : DEVONNE MARIE LABONTE
Credential : MHA, LHRM
Telephone Number : 941-366-8897
Provider Enumeration Date : 01/15/2007
Last Update Date : 07/21/2022

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Practice Fax: 941-366-0518

Directions to “SARASOTA PLASTIC SURGERY CENTER INC ” Practice Location

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