Healthcare Provider Details

I. General information

NPI: 1134955016
Provider Name (Legal Business Name): SAVING LIVES MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5857 21ST AVE W STE A
BRADENTON FL
34209-5641
US

IV. Provider business mailing address

5857 21ST AVE W STE A
BRADENTON FL
34209-5641
US

V. Phone/Fax

Practice location:
  • Phone: 941-241-8015
  • Fax:
Mailing address:
  • Phone: 941-241-8015
  • Fax: 941-241-8018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. RAYMONDE VERNET
Title or Position: PRESIDENT/FOUNDER
Credential:
Phone: 561-843-5393