Healthcare Provider Details

I. General information

NPI: 1215857909
Provider Name (Legal Business Name): ESSENTIAL HEALTH SARASOTA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 S OSPREY AVE UNIT 101
SARASOTA FL
34239-3608
US

IV. Provider business mailing address

1801 S OSPREY AVE UNIT 101
SARASOTA FL
34239-3608
US

V. Phone/Fax

Practice location:
  • Phone: 941-621-9497
  • Fax:
Mailing address:
  • Phone: 941-621-9497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KYLE O'BRIEN
Title or Position: MANAGING MEMBER
Credential: DO
Phone: 847-736-4924