Provider Demographics
NPI:1225289762
Name:SARASOTA CARDIAC AND THORACIC SURGERY PA
Entity Type:Organization
Organization Name:SARASOTA CARDIAC AND THORACIC SURGERY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-952-1913
Mailing Address - Street 1:1540 S TAMIAMI TRL
Mailing Address - Street 2:STE 301
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2921
Mailing Address - Country:US
Mailing Address - Phone:941-952-1913
Mailing Address - Fax:
Practice Address - Street 1:1540 S TAMIAMI TRL
Practice Address - Street 2:STE 301
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2921
Practice Address - Country:US
Practice Address - Phone:941-952-1913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000526100Medicaid
FLBD801Medicare PIN