Organization · NPI-2
Cortez Injury Care LLC
Clinic/Center · Bradenton, FL
NPI number1992565139
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1992565139
- Entity type
- Organization (NPI-2)
- Legal business name
- Cortez Injury Care LLC
- Organization subpart
- No
- Enumeration date
- Mar 21, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
9516 Cortez Rd W Ste 4Bradenton, FL 34210-1800
Phone 941-213-9371
Mailing address
9516 Cortez Rd W Ste 4Bradenton, FL 34210-1800
Phone 941-213-9371
Authorized official
Maxime J Cole
Owner
9412139371
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