Provider Demographics
NPI:1700885480
Name:BEIDAS, SARY OMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SARY
Middle Name:OMAR
Last Name:BEIDAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SARY
Other - Middle Name:OMAR
Other - Last Name:BEIDAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 863407
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-3407
Mailing Address - Country:US
Mailing Address - Phone:941-917-2600
Mailing Address - Fax:941-917-7884
Practice Address - Street 1:1825 DR MARTIN LUTHER KING WAY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-2525
Practice Address - Country:US
Practice Address - Phone:941-952-4123
Practice Address - Fax:941-952-4101
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD20519207R00000X, 207RI0200X
FLME117803207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease