Healthcare Provider Details

I. General information

NPI: 1770505687
Provider Name (Legal Business Name): MANATEE MEMORIAL HOSPITAL L P
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 2ND ST E
BRADENTON FL
34208-1042
US

IV. Provider business mailing address

206 2ND ST E
BRADENTON FL
34208-1042
US

V. Phone/Fax

Practice location:
  • Phone: 941-746-5111
  • Fax:
Mailing address:
  • Phone: 941-746-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number4146
License Number StateFL

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO, SENIOR VP
Credential:
Phone: 610-768-3300