Basic Information
Provider Information
NPI: 1730639568
EntityType: 2
ReplacementNPI:  
OrganizationName: SARASOTA MEMORIAL HOSPITAL
LastName:  
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Mailing Information
Address1: 1700 S TAMIAMI TRL
Address2:  
City: SARASOTA
State: FL
PostalCode: 342393509
CountryCode: US
TelephoneNumber: 9419179000
FaxNumber:  
Practice Location
Address1: 1700 S TAMIAMI TRL
Address2:  
City: SARASOTA
State: FL
PostalCode: 342393509
CountryCode: US
TelephoneNumber: 9419179000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/05/2016
LastUpdateDate: 10/05/2016
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: VERINDER
AuthorizedOfficialFirstName: DAVID
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AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 9419172498
IsSoleProprietor:  
IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X9336284FLY HospitalsGeneral Acute Care Hospital 

No ID Information.


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