Provider Demographics
NPI:1548651235
Name:SARASOTA MEDICAL CENTER, INC
Entity type:Organization
Organization Name:SARASOTA MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPOLL
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:941-924-0127
Mailing Address - Street 1:2250 GULF GATE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-4838
Mailing Address - Country:US
Mailing Address - Phone:941-924-0127
Mailing Address - Fax:941-924-0131
Practice Address - Street 1:2250 GULF GATE DR
Practice Address - Street 2:SUITE B
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-4838
Practice Address - Country:US
Practice Address - Phone:941-924-0127
Practice Address - Fax:941-924-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center