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NPI Code Detail

MEDICARE: DR. GARY EDWARD SENTENEY M.D.

MEDICARE:  DR. GARY EDWARD SENTENEY  M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME0039899FL

General Provider Information

NPI Number : 1407812183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY EDWARD SENTENEY M.D.
Provider Business Mailing Address
First Line : 9214 19TH DR NW
Second Line :
City : BRADENTON
State : FL
Zip : 34209-8141
Country : US
Telephone Number : 941-798-6176
Fax Number : 941-798-6168
Provider Business Practice Location Address
First Line : 2020 59TH ST W
Second Line : BLAKE HOSPITAL PATHOLOGY
City : BRADENTON
State : FL
Zip : 34209-4604
Country : US
Telephone Number : 941-798-6176
Fax Number : 941-798-6168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2006
Last Update Date : 01/09/2009

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Directions to “ DR. GARY EDWARD SENTENEY M.D.” Practice Location

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