Sarasota Men Clinic Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

263631786 Issued in FL

Legal business name

SARASOTA MEN CLINIC INC

Practice address

625 NE 164 St
North Miami Beach, FL 33162-3623

Phone

(941) 552-8667

Fax

(941) 552-8668

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Johan CalvoNPI 1255586038

Title

President

Phone

(305) 335-1823

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johan Calvo, PRESIDENT

  • Specialist
  • Sarasota, FL
  • NPI 1255586038
  Authorized official Same address or phone

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1811123367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 GULF GATE DR",
            "address_2": "STE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314838",
            "telephone_number": "941-552-8667",
            "fax_number": "941-552-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 NE 164 ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623623",
            "telephone_number": "941-552-8667",
            "fax_number": "941-552-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA MEN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "CALVO",
        "authorized_official_first_name": "JOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-335-1823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "263631786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuliana Santoro
• Carlos R Santos, M.D.
• Cleiton Santos, PTA
• Shoshana Sapirman, RD/RDN
• Sarah's Homecare Agency LLC
• Nadia Sardinas Marrero
• Mayara Sariol Espinosa, RBT
• Netta Sarry
• Maksym Savchenko, LDO
• Maday Sawyer, OTA

• Medical Specialty Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.