Provider Demographics
NPI:1568779353
Name:SARASOTA DOCTORS HOSPITAL INC
Entity Type:Organization
Organization Name:SARASOTA DOCTORS HOSPITAL INC
Other - Org Name:DOCTORS HOSPITAL OF SARASOTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWANER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-342-1192
Mailing Address - Street 1:5731 BEE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-5056
Mailing Address - Country:US
Mailing Address - Phone:941-342-1100
Mailing Address - Fax:941-379-8342
Practice Address - Street 1:5731 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5056
Practice Address - Country:US
Practice Address - Phone:941-342-1100
Practice Address - Fax:941-379-8342
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SARASOTA DOCTORS HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-01
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
10S166Medicare Oscar/Certification