Healthcare Provider Details

I. General information

NPI: 1841289519
Provider Name (Legal Business Name): NADIA S URATO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
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

6211 SINGLETREE TRL
SARASOTA FL
34241-8585
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 TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME85461
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number204298
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberME 85461
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: