Provider Demographics
NPI:1366496747
Name:SARASOTA PAIN MEDICINE PLLC
Entity type:Organization
Organization Name:SARASOTA PAIN MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:ERB
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:941-917-6610
Mailing Address - Street 1:5880 RAND BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238
Mailing Address - Country:US
Mailing Address - Phone:941-917-6610
Mailing Address - Fax:941-917-6218
Practice Address - Street 1:5880 RAND BLVD STE 215
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238
Practice Address - Country:US
Practice Address - Phone:941-917-6610
Practice Address - Fax:941-917-6218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 7114207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty