Provider Demographics
NPI:1699028498
Name:SARASOTA SURGICAL ASSISTANTS INC.
Entity Type:Organization
Organization Name:SARASOTA SURGICAL ASSISTANTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAZLI
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:941-730-4108
Mailing Address - Street 1:1756 OAK ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-7537
Mailing Address - Country:US
Mailing Address - Phone:941-730-4108
Mailing Address - Fax:
Practice Address - Street 1:1756 OAK ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7537
Practice Address - Country:US
Practice Address - Phone:941-730-4108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3357282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital