Organization Active NPI

Freedom22 SRQ

  • Surgery Physician
  • Sarasota, FL
National Provider Identifier
1093529356
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
FREEDOM22 SRQ
Practice address
1958 Prospect St
Sarasota, FL 34239-2222
Phone
(941) 313-2393
Fax
(904) 980-9302
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arundathi RaoNPI 1174796825
Title
Owner
Phone
(904) 306-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1958 Prospect St
Sarasota, FL 34239-2222

Mailing address

13223 Swallowtail Dr
Lakewood Ranch, FL 34202-8240
Phone (941) 313-2393

Other names 1

  • Revitalized Health Doing business as

National Provider Directory

National Provider Directory

Locations

1958 Prospect St
Sarasota, FL 34239
Phone (941) 313-2393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1093529356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13223 SWALLOWTAIL DR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028240",
            "telephone_number": "941-313-2393",
            "fax_number": "904-980-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 PROSPECT ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392222",
            "telephone_number": "941-313-2393",
            "fax_number": "904-980-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM22 SRQ",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "ARUNDATHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-306-6789"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revitalized Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.