Provider Demographics
NPI:1376799361
Name:J. KENT BARTRUFF M.D.P.A.
Entity Type:Organization
Organization Name:J. KENT BARTRUFF M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:BARTRUFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-366-2400
Mailing Address - Street 1:2750 RINGLING BLVD
Mailing Address - Street 2:STE 1
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-6300
Mailing Address - Country:US
Mailing Address - Phone:941-366-2400
Mailing Address - Fax:941-366-4008
Practice Address - Street 1:2750 RINGLING BLVD
Practice Address - Street 2:STE 1
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6300
Practice Address - Country:US
Practice Address - Phone:941-366-2400
Practice Address - Fax:941-366-4008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME13163174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty