Provider Demographics
NPI:1023037280
Name:HEALTHCARE ASSOCIATES OF SARASOTA, P.A.
Entity Type:Organization
Organization Name:HEALTHCARE ASSOCIATES OF SARASOTA, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CECELIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-927-6607
Mailing Address - Street 1:7275 BEE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-5969
Mailing Address - Country:US
Mailing Address - Phone:941-927-6607
Mailing Address - Fax:941-921-1834
Practice Address - Street 1:7275 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34241-5969
Practice Address - Country:US
Practice Address - Phone:941-927-6607
Practice Address - Fax:941-921-1834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0031530207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL58418YMedicare ID - Type Unspecified