Provider Demographics
NPI:1548879794
Name:VASCULAR SPECIALIST OF VENICE AND SARASOTA PL
Entity type:Organization
Organization Name:VASCULAR SPECIALIST OF VENICE AND SARASOTA PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZARUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-316-1101
Mailing Address - Street 1:600 N CATTLEMEN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6422
Mailing Address - Country:US
Mailing Address - Phone:941-378-3231
Mailing Address - Fax:941-308-7337
Practice Address - Street 1:6600 UNIVERSITY PARKWAY
Practice Address - Street 2:#102
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240
Practice Address - Country:US
Practice Address - Phone:941-378-3231
Practice Address - Fax:941-308-7337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty