| Azan Medical, PA | |
|
4014 Sawyer Rd Sarasota FL 34233-1272 | |
| (841) 584-8185 | |
| Not Available |
| Full Name | Azan Medical, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 4014 Sawyer Rd, Sarasota, Florida |
| Authorized Official Name and Position | Sohail Shariff (OWNER/PRESIDENT) |
| Authorized Official Contact | 9415848185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azan Medical, PA Po Box 110724 Lakewood Rch FL 34211-0010 Ph: (841) 584-8185 | Azan Medical, PA 4014 Sawyer Rd Sarasota FL 34233-1272 Ph: (841) 584-8185 |
| NPI Number | 1497157705 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 2567684319 |
|---|---|
| Medicare Enrollment ID | O20141111000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497157705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME99337 (Florida) | Primary |
| Provider Name | Sohail Shariff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194730929 PECOS PAC ID: 2567466576 Enrollment ID: I20081118000771 |
| Provider Name | Omar Cordell Grant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831522374 PECOS PAC ID: 9234353012 Enrollment ID: I20140618000272 |
| Provider Name | Monica Skerski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245883925 PECOS PAC ID: 6103254750 Enrollment ID: I20200316000355 |
| Provider Name | Lindsey a Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295594984 PECOS PAC ID: 3971886995 Enrollment ID: I20250227001155 |
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