Atlantic Cove Medical Group, LLC
Clinic/Center in Sarasota, FL. Organization (NPI-2).
NPI number1851172019
StatusActive
Last updated in NPPESFeb 11, 2026
Details
- NPI
- 1851172019
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlantic Cove Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2023
- Certification date
- Feb 11, 2026
- Last updated
- Feb 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
1949 Northgate BlvdSarasota, FL 34234-2143
Phone 941-208-3070 · Fax 941-208-3067
Mailing address
5342 Clark Rd # 3072Sarasota, FL 34233-3227
Authorized official
Collins Ezeuka
Ceo
8185540112
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