MEDICARE: SARASOTA CARDIOVASCULAR & THORACIC SURGICAL 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	586400296	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DA2018	OTHER	FL	RAILROAD MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	34714	OTHER	FL	BCBS GROUP PROVIDER #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831194026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARASOTA CARDIOVASCULAR & THORACIC SURGICAL ASSOCIATES PA

Provider Business Mailing Address
First Line	:	1540 S TAMIAMI TRL
Second Line	:	STE 301
City	:	SARASOTA
State	:	FL
Zip	:	34239-2921
Country	:	US
Telephone Number	:	941-952-1913
Fax Number	:	941-952-1969

Provider Business Practice Location Address
First Line	:	1540 S TAMIAMI TRL
Second Line	:	STE 301
City	:	SARASOTA
State	:	FL
Zip	:	34239-2921
Country	:	US
Telephone Number	:	941-952-1913
Fax Number	:	941-952-1969

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. RITA HORN
Credential	:
Telephone Number	:	941-952-1947

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	01/21/2009

Similar Medicare Providers

1760331524 — MR. SHANE WILLIAM ROBACK PA-C
Practice Location Address:

1540 S TAMIAMI TRL STE 401
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34239-2921

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Practice Fax:

1851390694 — PAUL NICHOLAS CHOMIAK MD
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1540 S TAMIAMI TRL STE 303
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1396731881 — ROSEMARY T. HALEY ARNP
Practice Location Address:

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34239-2921

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1487630299 — FLORIDA CARDIAC CONSULTANTS INC
Practice Location Address:

1540 S TAMIAMI TRL , SUITE 401
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1326079674 — JOHN ALAN GALAT M.D.
Practice Location Address:

1540 S TAMIAMI TRL STE 303
SARASOTA, FL
34239-2921

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1871519769 — KATHRYN TAYLOR HOLLINGSWORTH ARNP
Practice Location Address:

1540 S TAMIAMI TRL STE 204
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34239-2921

Practice Phone: 941-917-7867
Practice Fax: 941-917-7193

Directions to “SARASOTA CARDIOVASCULAR & THORACIC SURGICAL ASSOCIATES PA ” Practice Location

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