Provider Demographics
NPI:1720798358
Name:SARASOTA ORTHOPEDIC INSTITUTE INC
Entity Type:Organization
Organization Name:SARASOTA ORTHOPEDIC INSTITUTE INC
Other - Org Name:SARASOTA ORTHOPEDIC INSTITUTE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TONTZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:619-770-0746
Mailing Address - Street 1:1300 BOCA CIEGA ISLE DR
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33706-2548
Mailing Address - Country:US
Mailing Address - Phone:619-770-0746
Mailing Address - Fax:
Practice Address - Street 1:802 40TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-1724
Practice Address - Country:US
Practice Address - Phone:941-205-0201
Practice Address - Fax:941-210-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty