Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fifty Third Ave East Medical Clinic

Organization Internal Medicine Physician · NPI 1619139151

Fifty Third Ave East Medical Clinic is an Internal Medicine Physician in Sarasota, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

3900 Clark Rd Ste B3 & B4
Sarasota, FL 34233-2301
Phone: (941) 755-2456
Fax: (941) 932-4795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME0049009 (FL)

Record details

NPI number1619139151
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFifty Third Ave East Medical Clinic
Authorized official Padmini Rajan — President · (941) 755-2456
NPI enumeratedJune 26, 2008
Last updated in NPPESJune 26, 2008
Mailing address712 53rd Ave E, Suite C, Bradenton, FL 34203-5827

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