| Sarasota Healthcare 168 Llc | |
|
2888 Ringling Blvd Unit Cd Sarasota FL 34237-5331 | |
| (941) 413-5100 | |
| (941) 388-7292 |
| Full Name | Sarasota Healthcare 168 Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2888 Ringling Blvd Unit Cd, Sarasota, Florida |
| Authorized Official Name and Position | Ashwani L Soin (AUTHORIZED SIGNER) |
| Authorized Official Contact | 7323432683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarasota Healthcare 168 Llc 2888 Ringling Blvd Unit Cd Sarasota FL 34237-5331 Ph: (941) 413-5100 | Sarasota Healthcare 168 Llc 2888 Ringling Blvd Unit Cd Sarasota FL 34237-5331 Ph: (941) 413-5100 |
| NPI Number | 1114553963 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 01/09/2025 |
| Medicare PECOS PAC ID | 1658700240 |
|---|---|
| Medicare Enrollment ID | O20201111002785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114553963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nikhil Patel |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1124527981 PECOS PAC ID: 2769715176 Enrollment ID: I20190617002132 |
| Provider Name | David Borlongan Isidro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417137076 PECOS PAC ID: 3779672910 Enrollment ID: I20200117000272 |
| Provider Name | Erick Victor Mejia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811421357 PECOS PAC ID: 9739503442 Enrollment ID: I20200728000188 |
| Provider Name | Paul Franklin Sawicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043918626 PECOS PAC ID: 3870967110 Enrollment ID: I20230328001052 |
| Provider Name | Tanasia Chicole Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013647452 PECOS PAC ID: 3072969799 Enrollment ID: I20231031003158 |
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