Healthcare Provider Details

I. General information

NPI: 1447368725
Provider Name (Legal Business Name): THE EYE ASSOCIATES OF MANATEE, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 BEE RIDGE RD
SARASOTA FL
34239-6104
US

IV. Provider business mailing address

2203 61ST ST W
BRADENTON FL
34209-5528
US

V. Phone/Fax

Practice location:
  • Phone: 941-925-8888
  • Fax: 941-924-8669
Mailing address:
  • Phone: 941-792-2020
  • Fax: 941-798-3995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT L. MARSHALL
Title or Position: CHIEF FINANCIAL OFFICER/MANAGING EM
Credential: CPA
Phone: 941-792-2020