Healthcare Provider Details
I. General information
NPI: 1225289762
Provider Name (Legal Business Name): SARASOTA CARDIAC AND THORACIC SURGERY PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2008
Last Update Date: 01/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1540 S TAMIAMI TRL STE 301
SARASOTA FL
34239-2921
US
IV. Provider business mailing address
1540 S TAMIAMI TRL STE 301
SARASOTA FL
34239-2921
US
V. Phone/Fax
- Phone: 941-952-1913
- Fax:
- Phone: 941-952-1913
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208G00000X |
| Taxonomy | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARTIN
L
BEGGS
Title or Position: DIRECTOR
Credential: MD
Phone: 941-952-1913