Healthcare Provider Details

I. General information

NPI: 1255195970
Provider Name (Legal Business Name): SATYA SARASOTA DERMATOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3231 GULF GATE DR STE 105
SARASOTA FL
34231-2406
US

IV. Provider business mailing address

3231 GULF GATE DR STE 105
SARASOTA FL
34231-2406
US

V. Phone/Fax

Practice location:
  • Phone: 941-263-8866
  • Fax: 941-263-8886
Mailing address:
  • Phone: 941-263-8866
  • Fax: 941-263-8886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: NADIA S URATO
Title or Position: OWNER, DIRECTOR
Credential: MD
Phone: 941-920-4083