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General NPI Number Information
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NPI Number | 1205700283
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Entity Type | Organization
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Legal Business Name | MANATEE ENDOCRINE & DIABETES CENTER
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 200 3RD AVE W STE 100
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City | BRADENTON
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State | FL
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Zip | 34205-8628
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Country | US
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Telephone | 941-324-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 941-324-9900
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ANTONIO EDOARDO LUBRANO HEINSEN
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Credential | MD
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Telephone | 941-324-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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