Family Doctors Of Bradenton INC
Family Medicine in Bradenton, FL. Organization (NPI-2).
NPI number1104989995
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104989995
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Doctors Of Bradenton INC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
3303 Manatee Ave WBradenton, FL 34205-2550
Phone 941-748-8069 · Fax 941-748-6609
Mailing address
3303 Manatee Ave WBradenton, FL 34205-2550
Phone 941-748-8069 · Fax 941-748-6609
Authorized official
Audrey Laurenz
Owner
9417488069
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