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Bradenton Surgical Group Pa
Vascular Surgery Physician in Bradenton, Florida
NPI 1164418182

Bradenton Surgical Group Pa is a Vascular Surgery Physician based in Bradenton, FL and is specialized in Vascular Surgery. Bradenton Surgical Group Pa practices in Bradenton, FL. The NPI Number for Bradenton Surgical Group Pa is 1164418182 and holds a License No. (Florida).

The current practice location address for Bradenton Surgical Group Pa is 200 3Rd Ave W, Bradenton, FL and can be reached out via phone at 941-744-2700 and via fax at 941-744-2705.

Location: 200 3Rd Ave W, Bradenton, FL, 34205-8626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164418182
Provider Name
Bradenton Surgical Group Pa
Credential
Provider Entity Type
Organization
Address
200 3Rd Ave W, Bradenton, FL, 34205-8626
Phone Number
941-744-2700
Fax Number
941-744-2705
Provider Enumeration Date
09/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CK2566 01 FL RAIL ROAD MEDICARE
7385373 01 FL AETNA
94850 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
200 3Rd Ave W
City
Bradenton
State
Florida
Zip
34205-8626
Phone Number
941-744-2700
Fax Number
941-744-2705
person
Provider Business Mailing Address Details
Address
200 3Rd Ave W
City
Bradenton
State
Florida
Zip
34205-8626
Phone Number
941-744-2700
Fax Number
941-744-2705
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
(Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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