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General NPI Number Information
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NPI Number | 1245351964
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Entity Type | Organization
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Legal Business Name | MANATEE COUNTY PUBLIC HEALTH DEPARTMENT
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 410 6TH AVE E
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City | BRADENTON
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State | FL
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Zip | 34208-1928
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Country | US
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Telephone | 941-748-0747
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Fax |
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Provider Business Mailing Address
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Address Line | 517 LOQUAT DR.
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City | ANNA MARIA
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State | FL
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Zip | 34216
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Country | US
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Telephone | 941-778-1788
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Fax |
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Authorized Official
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Title or Position | SENIOR PHYSICIAN
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Name | DR. CARL M VOYLES
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Credential | MD
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Telephone | 941-748-0747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME4368
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License Number State | FL
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