Provider Demographics
NPI:1902081730
Name:SANDRA CHECCA MD LLC
Entity Type:Organization
Organization Name:SANDRA CHECCA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHECCA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-932-2243
Mailing Address - Street 1:800 N TAMIAMI TRL
Mailing Address - Street 2:#407
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-4054
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 N TAMIAMI TRL
Practice Address - Street 2:#407
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4054
Practice Address - Country:US
Practice Address - Phone:941-932-2243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty