MEDICARE: RHC BRADENTON LLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1831797737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHC BRADENTON LLC

Provider Business Mailing Address
First Line	:	4502 CORTEZ RD W STE 301A
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34210-3124
Country	:	US
Telephone Number	:	941-567-5367
Fax Number	:

Provider Business Practice Location Address
First Line	:	4502 CORTEZ RD W STE 301A
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34210-3124
Country	:	US
Telephone Number	:	941-567-5367
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	EDDIE MURGASEN
Credential	:	MD
Telephone Number	:	941-567-5367

Provider Enumeration Date	:	10/13/2020
Last Update Date	:	10/13/2020

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Directions to “RHC BRADENTON LLC ” Practice Location

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