Organization · NPI-2

Bradenton Surgery Center LLC

Clinic/Center · Bradenton, FL

NPI number1508822685
StatusActive
Last updated in NPPESSep 30, 2026

Details

NPI
1508822685
Entity type
Organization (NPI-2)
Legal business name
Bradenton Surgery Center LLC
Organization subpart
No
Enumeration date
Apr 26, 2006
Certification date
Sep 30, 2026
Last updated
Sep 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

2902 59th St W
Suites F & G
Bradenton, FL 34209-7023

Phone 941-792-9685 · Fax 941-757-1377

Mailing address

2902 59th St W Ste F&G
Bradenton, FL 34209-7023

Phone 941-792-9685 · Fax 941-757-1377

Authorized official

Collin Lemaistre
Ao
2142130732

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