Healthcare Provider Details

I. General information

NPI: 1689721045
Provider Name (Legal Business Name): C STEPHEN PATTI MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1857 FLOYD ST SUITE 100
SARASOTA FL
34239-2908
US

IV. Provider business mailing address

1857 FLOYD ST SUITE 100
SARASOTA FL
34239-2908
US

V. Phone/Fax

Practice location:
  • Phone: 941-954-0266
  • Fax: 941-954-0243
Mailing address:
  • Phone: 941-954-0266
  • Fax: 941-954-0243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberME86466
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberME70272
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberME70272
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME86466
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberME86466
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberME86466
License Number StateFL
# 7
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberME86466
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME70272
License Number StateFL

VIII. Authorized Official

Name: DR. CROCE STEPHEN PATTI
Title or Position: CEO
Credential: M.D.
Phone: 941-954-0266