Provider Demographics
NPI:1386770113
Name:JOSEPH C SCHIRO MD FACS PL
Entity type:Organization
Organization Name:JOSEPH C SCHIRO MD FACS PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACS PL
Authorized Official - Phone:941-955-2913
Mailing Address - Street 1:1762 HAWTHORNE ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2107
Mailing Address - Country:US
Mailing Address - Phone:941-955-2913
Mailing Address - Fax:941-955-2916
Practice Address - Street 1:1762 HAWTHORNE ST
Practice Address - Street 2:SUITE 4
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2107
Practice Address - Country:US
Practice Address - Phone:941-955-2913
Practice Address - Fax:941-955-2916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45577174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL58481YMedicare ID - Type Unspecified
FLD56974Medicare UPIN