Preventive Medicine of Sarasota, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME29207 Issued in FL

Legal business name

PREVENTIVE MEDICINE OF SARASOTA, PA

Practice address

9114 Town Center Pkwy
Lakewood Ranch, FL 34202-5053

Phone

(941) 351-4949

Fax

(941) 351-3033

NPI assigned

May 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Bubinak, MD

Title

President

Phone

(941) 400-4965

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1821476375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 GROVE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394509",
            "telephone_number": "941-366-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 TOWN CENTER PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025053",
            "telephone_number": "941-351-4949",
            "fax_number": "941-351-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICINE OF SARASOTA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "BUBINAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-400-4965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME29207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "B152-486-42-373-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precision Imaging Inc
• Premier Allergist of Florida LLC
• Premiere Gi PLLC
• Prestige Medical Group LLC
• Tanya N Prete, CCLS
• Procedural Medical Solutions, LLC
• Publix Super Markets Inc
• Publix Super Markets Inc
• Publix Super Markets, Inc.
• Vrena Puentes Corchero, PA-C

• Internal Medicine Physician in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.