Bradenton Endocrinology, Pa

NPI 1033460001 - Clinic/Center - 261QM2500X

NPI Details
NPI 1033460001
Enumeration Date 09/30/2012
Last Updated 09/30/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LILLIBET MATHEW LILLIBET
Position OWNER
Phone (941) 795-1915
Fax (941) 795-2715
Practice Location
1906 59TH ST W
B
BRADENTON FL, 34209-4639, US
Phone (941) 795-1915
Fax (941) 795-2715
Business Location
1906 59TH ST W
B
BRADENTON FL, 34209-4639, US
Phone (941) 795-1915
Fax (941) 795-2715
Toxanomy
Taxonomy Code 261QM2500X
License State Florida
License Number ME63167
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According to our database, Bradenton Endocrinology, Pa NPI is 1033460001, taxonomy code is 261QM2500X and license number is ME63167, license state is located at Florida. Bradenton Endocrinology, Pa physically located at 1906 59th St W, Bradenton FL, 34209-4639. NPI Number 1033115704 has the healthcare provider type.

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1033460001 NPI number is provided on an as is basis without warranty of any kind. 1033460001 is maintained by the National Plan & Provider Enumeration System. The contents of Bradenton Endocrinology, Pa are for informational purposes only.