Organization Name: | MEDI-CLINIC SARASOTA INC. |
NPI Number: | 1407186463 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALPHONSE DEL PIZZO (PRESIDENT) |
Mailing Address: | 2107 S Tamiami Trl Osprey |
State: | FL US |
Postal Code: | 342299668 |
Phone Number: | 9419667640 |
Fax Number: | 9419667641 |
NPI Enumeration Date: | 01/13/2010 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | ME24212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |