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Contact Information

THEODORE G PROBST, MD
1515 S OSPREY AVE
SUITE 1-A
SARASOTA, FL34239-2939
 Phone: 941-917-7197
 Fax: 941-917-4016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for THEODORE G PROBST · (Male)

NPI Number 1538127154
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2006
Last updated 03/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0031620
  • FL License # ME31620
  • FL Medicaid 266213200
  • FL Other 79310 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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