Healthcare Provider Details

I. General information

NPI: 1073578563
Provider Name (Legal Business Name): VASCULAR ASSOCIATES OF SARASOTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N CATTLEMEN RD SUITE 220
SARASOTA FL
34232-6410
US

IV. Provider business mailing address

600 N CATTLEMEN RD SUITE 220
SARASOTA FL
34232-6410
US

V. Phone/Fax

Practice location:
  • Phone: 941-371-6565
  • Fax: 941-377-7731
Mailing address:
  • Phone: 941-371-6565
  • Fax: 941-377-7731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL LEPORE
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 941-371-6565