MEDICARE: SAVING LIVES MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1134955016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVING LIVES MEDICAL LLC

Provider Business Mailing Address
First Line	:	5857 21ST AVE W STE A
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34209-5641
Country	:	US
Telephone Number	:	941-241-8015
Fax Number	:	941-241-8018

Provider Business Practice Location Address
First Line	:	5857 21ST AVE W STE A
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34209-5641
Country	:	US
Telephone Number	:	941-241-8015
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/FOUNDER
Name	:	MRS. RAYMONDE VERNET
Credential	:
Telephone Number	:	561-843-5393

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	12/01/2025

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