Healthcare Provider Details

I. General information

NPI: 1417967449
Provider Name (Legal Business Name): SUMEET BHANOT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 03/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2038 BEE RIDGE RD
SARASOTA FL
34239-6108
US

IV. Provider business mailing address

2038 BEE RIDGE RD
SARASOTA FL
34239-6108
US

V. Phone/Fax

Practice location:
  • Phone: 941-966-3223
  • Fax: 941-966-3299
Mailing address:
  • Phone: 941-966-3223
  • Fax: 941-966-3299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberME88523
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: