MEDICARE: SARASOTA DIGESTIVE HEALTH SPECIALISTS LLC

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	174400000X	Specialist	ME50532	FL

General Provider Information

NPI Number	:	1427283233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARASOTA DIGESTIVE HEALTH SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	1801 ARLINGTON ST
Second Line	:	SUITE 101
City	:	SARASOTA
State	:	FL
Zip	:	34239-3502
Country	:	US
Telephone Number	:	941-706-2904
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 ARLINGTON ST
Second Line	:	SUITE 101
City	:	SARASOTA
State	:	FL
Zip	:	34239-3502
Country	:	US
Telephone Number	:	941-706-2904
Fax Number	:

Authorized Official
Title or Position	:	MGRM
Name	:	DR. ISAAC KALVARIA
Credential	:	M.D
Telephone Number	:	941-706-2904

Provider Enumeration Date	:	05/22/2009
Last Update Date	:	05/22/2009

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