Healthcare Provider Details

I. General information

NPI: 1912031675
Provider Name (Legal Business Name): ESSENTIAL MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 02/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 UNIVERSITY PARKWAY
SARASOTA FL
34243
US

IV. Provider business mailing address

2920 UNIVERSITY PARKWAY
SARASOTA FL
34243
US

V. Phone/Fax

Practice location:
  • Phone: 941-923-4515
  • Fax: 941-359-8657
Mailing address:
  • Phone: 941-923-4515
  • Fax: 941-359-8657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCH7468
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN A NOSEWORTHY
Title or Position: PHYSICIAN
Credential: DC DACNB
Phone: 941-923-4515