Organization Active NPI

Manasota Vascular Center, LLC

  • Medical Specialty Clinic/Center
  • Sarasota, FL
National Provider Identifier
1245513449
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
L11000095663 Issued in FL
Legal business name
MANASOTA VASCULAR CENTER, LLC
Practice address
600 N Cattlemen Rd Ste 100
Sarasota, FL 34232-6422
Phone
(941) 378-3231
Fax
(727) 286-3873
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Janet R Dees
Title
Managing Member
Phone
(727) 474-0090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Medical Specialty Clinic/Center 261QM2500X L11000095663 FL Primary

Addresses

Primary practice location

600 N Cattlemen Rd Ste 100
Sarasota, FL 34232-6422

Mailing address

2138 Palm Harbor Blvd
Suite B
Palm Harbor, FL 34683-5360
Phone (727) 474-0090

National Provider Directory

National Provider Directory

Locations

2138 Palm Harbor Blvd
Ste B
Palm Harbor, FL 34683

Practitioners & affiliated clinicians

Practitioners 2

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": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1245513449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 PALM HARBOR BLVD",
            "address_2": "SUITE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835360",
            "telephone_number": "727-474-0090",
            "fax_number": "727-474-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CATTLEMEN RD STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326422",
            "telephone_number": "941-378-3231",
            "fax_number": "727-286-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASOTA VASCULAR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "DEES",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-474-0090"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "L11000095663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 20, 2013; 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.