Provider Demographics
NPI:1225577216
Name:SCIONTI PROSTATE CENTER LLC
Entity Type:Organization
Organization Name:SCIONTI PROSTATE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIONTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-702-5595
Mailing Address - Street 1:5741 BEE RIDGE RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-5064
Mailing Address - Country:US
Mailing Address - Phone:941-702-5595
Mailing Address - Fax:888-492-0296
Practice Address - Street 1:5741 BEE RIDGE RD
Practice Address - Street 2:SUITE 500
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5064
Practice Address - Country:US
Practice Address - Phone:941-702-5595
Practice Address - Fax:888-492-0296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty