| Fifty Third Ave East Medical Clinic | |
|
3900 Clark Rd Suite B3 & B4 Sarasota FL 34233-2301 | |
| (941) 755-2456 | |
| (941) 932-4795 |
| Full Name | Fifty Third Ave East Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 3900 Clark Rd, Sarasota, Florida |
| Authorized Official Name and Position | Padmini Rajan (PRESIDENT) |
| Authorized Official Contact | 9417552456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fifty Third Ave East Medical Clinic 712 53rd Ave E Suite C Bradenton FL 34203-5827 Ph: (941) 755-2456 | Fifty Third Ave East Medical Clinic 3900 Clark Rd Suite B3 & B4 Sarasota FL 34233-2301 Ph: (941) 755-2456 |
| NPI Number | 1619139151 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619139151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0049009 (Florida) | Primary |
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