MEDICARE: M&A OF SARASOTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	12162	FL

General Provider Information

NPI Number	:	1356743983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&A OF SARASOTA

Provider Business Mailing Address
First Line	:	3548 SEA VIEW ST
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-3417
Country	:	US
Telephone Number	:	941-923-0484
Fax Number	:	941-923-0484

Provider Business Practice Location Address
First Line	:	3548 SEA VIEW ST
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-3417
Country	:	US
Telephone Number	:	941-923-0484
Fax Number	:	941-923-0484

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARGIT SZEL GERANE
Credential	:	ADMINISTRATOR
Telephone Number	:	941-923-0484

Provider Enumeration Date	:	09/26/2014
Last Update Date	:	09/26/2014

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Directions to “M&A OF SARASOTA ” Practice Location

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