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Manatee Gynecology LLC

Obstetrics & Gynecology, Gynecology in Bradenton, FL. Organization (NPI-2).

NPI number1578077970
StatusActive
Last updated in NPPESDec 7, 2017

Details

NPI
1578077970
Entity type
Organization (NPI-2)
Legal business name
Manatee Gynecology LLC
Organization subpart
No
Enumeration date
Nov 21, 2017
Last updated
Dec 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology––Yes

Practice location

2310 60th Street Ct W
Bradenton, FL 34209-6609

Phone 941-792-4993

Mailing address

2310 60th Street Ct W
Bradenton, FL 34209-6609

Authorized official

Kinnari Desai
Owner
9417924993

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