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NPI Code Detail

MEDICARE: MANATEE INTERNAL MEDICINE PA

MEDICARE: MANATEE INTERNAL MEDICINE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME0043006FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063526143
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANATEE INTERNAL MEDICINE PA
Provider Business Mailing Address
First Line : 408 MANATEE AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1135
Country : US
Telephone Number : 941-748-1331
Fax Number : 941-746-2803
Provider Business Practice Location Address
First Line : 408 MANATEE AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1135
Country : US
Telephone Number : 941-748-1331
Fax Number : 941-746-2803
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. LYNDA CANALAKES
Credential :
Telephone Number : 941-748-1331
Provider Enumeration Date : 08/18/2006
Last Update Date : 11/10/2011

Similar Medicare Providers

1174614762 — ROSHNI B PATEL M.D.
Practice Location Address:
408 MANATEE AVE E STE 2
BRADENTON, FL
34208-1135
Practice Phone: 941-748-1331
Practice Fax: 941-746-2803
1013023480 — DR. THOMAS C WILKINSON MD
Practice Location Address:
408 MANATEE AVE E
BRADENTON, FL
34208-1135
Practice Phone: 941-748-1331
Practice Fax: 941-746-2803
1598871931 — SUZANNE M WILKINSON MD
Practice Location Address:
408 MANATEE AVE E
BRADENTON, FL
34208-1135
Practice Phone: 941-748-1331
Practice Fax: 941-746-2803
1407962848 — TERRI J GABLE ARNP
Practice Location Address:
408 MANATEE AVE E
BRADENTON, FL
34208-1135
Practice Phone: 941-748-1331
Practice Fax: 941-746-2803
1871715524 — MARCEL A IONITA MD, PHD
Practice Location Address:
408 MANATEE AVE E STE 2
BRADENTON, FL
34208-1135
Practice Phone: 941-748-1331
Practice Fax: 941-746-2803
1376700278 — K&H HEALTHKARE
Practice Location Address:
408 MANATEE AVE E
BRADENTON, FL
34208-1135
Practice Phone: 941-922-5366
Practice Fax: 941-894-3487

Directions to “MANATEE INTERNAL MEDICINE PA ” Practice Location

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