Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | ME88523 | FL |
NPI | 1417967449 |
---|---|
Provider Name | Dr. Sumeet Bhanot |
First Address | Sarasota, FL 34239-6108 |
Second Address | Sarasota, FL 34239-6108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 18/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
268090400 | (05) | FL |
81712 | MEDICARE UNSPECIFIED (01) | FL |
N95440 | (02) | FL |