Healthcare Provider Details

I. General information

NPI: 1124932892
Provider Name (Legal Business Name): PURSUIT HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4812 26TH ST W
BRADENTON FL
34207-1705
US

IV. Provider business mailing address

4812 26TH ST W
BRADENTON FL
34207-1705
US

V. Phone/Fax

Practice location:
  • Phone: 941-961-2067
  • Fax: 941-265-6464
Mailing address:
  • Phone: 941-961-2067
  • Fax: 941-265-6464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ALEXANDER STEPHENS JR.
Title or Position: CEO
Credential:
Phone: 856-899-9910