MEDICARE: INFECTIOUS DISEASES ASSOCIATES PA

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	21948	OTHER	FL	BCBS FL

General Provider Information

NPI Number	:	1518955772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFECTIOUS DISEASES ASSOCIATES PA

Provider Business Mailing Address
First Line	:	1425 S OSPREY AVE STE 1
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-2900
Country	:	US
Telephone Number	:	941-366-9060
Fax Number	:	941-552-1588

Provider Business Practice Location Address
First Line	:	1425 S OSPREY AVE
Second Line	:	SUITE 1
City	:	SARASOTA
State	:	FL
Zip	:	34239-2938
Country	:	US
Telephone Number	:	941-366-9060
Fax Number	:	941-552-1588

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SABINA SMITH
Credential	:
Telephone Number	:	941-366-9060

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	02/02/2026

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