Provider Demographics
NPI:1003862053
Name:SARASOTA DOCTORS HOSPITAL INC
Entity Type:Organization
Organization Name:SARASOTA DOCTORS HOSPITAL INC
Other - Org Name:HCA FLORIDA SARASOTA DOCTORS HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWANER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-342-1180
Mailing Address - Street 1:5731 BEE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-5056
Mailing Address - Country:US
Mailing Address - Phone:941-342-1100
Mailing Address - Fax:941-379-8342
Practice Address - Street 1:5731 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5056
Practice Address - Country:US
Practice Address - Phone:941-342-1100
Practice Address - Fax:941-379-8342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0203845Medicaid
FL011995400Medicaid
AL0166NMedicaid
SC11650BMedicaid
20297OtherWELLCARE/STAYWELL
FL551OtherBLUE CROSS
GA20297Medicaid
FL000036960OtherHUMANA
GA000636446XMedicaid
NY01878564Medicaid
0061987OtherAETNA
071009900OtherBLACK LUNG