Bradenton Women'S Center PA
Obstetrics & Gynecology in Bradenton, FL. Organization (NPI-2).
NPI number1932198736
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1932198736
- Entity type
- Organization (NPI-2)
- Legal business name
- Bradenton Women'S Center PA
- Organization subpart
- No
- Enumeration date
- Oct 14, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
3950 E State Road 64Bradenton, FL 34208-9059
Phone 941-708-5045
Mailing address
3950 E State Road 64Bradenton, FL 34208-9059
Phone 941-708-5045
Authorized official
Surichya Surattanont
President
9417085045
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