Gulf Coast Kidney Associates, Pl
Internal Medicine, Nephrology in Sarasota, FL. Organization (NPI-2).
NPI number1962467373
StatusActive
Last updated in NPPESMay 24, 2010
Details
- NPI
- 1962467373
- Entity type
- Organization (NPI-2)
- Legal business name
- Gulf Coast Kidney Associates, Pl
- Organization subpart
- No
- Enumeration date
- Apr 19, 2006
- Last updated
- May 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
1921 Waldemere StSuite 306
Sarasota, FL 34239-2943
Phone 941-917-8722 · Fax 941-917-8727
Mailing address
1921 Waldemere StSuite 306
Sarasota, FL 34239-2943
Phone 941-917-8722 · Fax 941-917-8727
Authorized official
Andrew L. Lazin
Staff Physician
9419178722
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