Provider Demographics
NPI:1427040591
Name:PRICE, BART E (MD)
Entity Type:Individual
Prefix:DR
First Name:BART
Middle Name:E
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2221
Mailing Address - Country:US
Mailing Address - Phone:941-365-7771
Mailing Address - Fax:941-365-4071
Practice Address - Street 1:1250 SOUTHTAMIAMI TRAIL
Practice Address - Street 2:SUITE 301
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2207
Practice Address - Country:US
Practice Address - Phone:941-365-7771
Practice Address - Fax:941-365-4071
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2015-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70891207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31406OtherBCBS
FL110239988OtherMEDICARE RR
FL266071700Medicaid
FL266071700Medicaid
FL110239988OtherMEDICARE RR