Healthcare Provider Details

I. General information

NPI: 1215060116
Provider Name (Legal Business Name): FLORIDA PERSONAL INJURY PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4132 20TH ST W
BRADENTON FL
34205-5001
US

IV. Provider business mailing address

4132 20TH ST W
BRADENTON FL
34205-5001
US

V. Phone/Fax

Practice location:
  • Phone: 941-752-1700
  • Fax: 941-752-1717
Mailing address:
  • Phone: 941-752-1700
  • Fax: 941-752-1717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LEONARD BIBERMAN
Title or Position: OWNER
Credential: MD
Phone: 941-752-1744