Healthcare Provider Details

I. General information

NPI: 1295618825
Provider Name (Legal Business Name): ACCOUNTABLE INPATIENT MEDICINE MANATEE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 2ND ST E
BRADENTON FL
34208-1042
US

IV. Provider business mailing address

8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH FL
34202-5068
US

V. Phone/Fax

Practice location:
  • Phone: 941-499-2700
  • Fax:
Mailing address:
  • Phone: 941-499-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GABRIELLY MEURER COATTI
Title or Position: PARTNER
Credential: DO
Phone: 941-499-2700