Provider Demographics
NPI:1912018086
Name:CENTER FOR ENDOSCOPY INC
Entity Type:Organization
Organization Name:CENTER FOR ENDOSCOPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-552-3480
Mailing Address - Street 1:3325 S TAMIAMI TRAIL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239
Mailing Address - Country:US
Mailing Address - Phone:941-552-3480
Mailing Address - Fax:941-552-3485
Practice Address - Street 1:3325 S TAMIAMI TRAIL
Practice Address - Street 2:SUITE 100
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-552-3480
Practice Address - Fax:941-552-3485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1164261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
F1392Medicare ID - Type Unspecified