Healthcare Provider Details

I. General information

NPI: 1659072999
Provider Name (Legal Business Name): PREMIER PHYSICIANS OF SARASOTA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1843 FLOYD ST
SARASOTA FL
34239-2937
US

IV. Provider business mailing address

1843 FLOYD ST
SARASOTA FL
34239-2937
US

V. Phone/Fax

Practice location:
  • Phone: 941-951-3920
  • Fax: 941-951-3922
Mailing address:
  • Phone: 941-951-3920
  • Fax: 941-951-3922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GREGORY J. FERREIRA
Title or Position: PARTNER
Credential: MD
Phone: 941-951-3920