Healthcare Provider Details

I. General information

NPI: 1962871160
Provider Name (Legal Business Name): SURGERY PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 09/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 BEE RIDGE RD BLDG E SUITE F
SARASOTA FL
34233-1207
US

IV. Provider business mailing address

5426 BAY CENTER DR SUITE 300
TAMPA FL
33609-3444
US

V. Phone/Fax

Practice location:
  • Phone: 941-926-2270
  • Fax:
Mailing address:
  • Phone: 813-569-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberARNP9255637
License Number StateFL

VIII. Authorized Official

Name: ROSS ANATRA
Title or Position: PRACTICE MANAGER
Credential:
Phone: 941-926-3220