Healthcare Provider Details

I. General information

NPI: 1760897573
Provider Name (Legal Business Name): HOWARD B FUCHS MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 07/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 BEE RIDGE RD BLDG B SUITE A
SARASOTA FL
34233-1207
US

IV. Provider business mailing address

3920 BEE RIDGE RD BLDG B SUITE A
SARASOTA FL
34233-1207
US

V. Phone/Fax

Practice location:
  • Phone: 941-923-3495
  • Fax: 941-925-8788
Mailing address:
  • Phone: 941-923-3495
  • Fax: 941-925-8788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME42119
License Number StateFL

VIII. Authorized Official

Name: DR. HOWARD B FUCHS
Title or Position: MD
Credential: MD
Phone: 941-923-3495