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Philip W Tally, MD
Vascular Surgery Physician in Bradenton, Florida
NPI 1982660049

Philip W Tally is a Vascular Surgery Physician based in Bradenton, FL and is specialized in Vascular Surgery. Philip W Tally practices in Bradenton, FL and has the professional credentials of MD. The NPI Number for Philip W Tally is 1982660049 and holds a License No. ME53442 (Florida).

The current practice location address for Philip W Tally is 200 3Rd Ave W, Bradenton, FL and can be reached out via phone at 941-794-3118 and via fax at 941-782-2017. You can also correspond with Philip W Tally through the mailing address at 200 3RD AVE W, BRADENTON, FL - 34205-8626 (mailing address contact number: 941-794-3118).

Location: 200 3Rd Ave W, Bradenton, FL, 34205-8626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982660049
Provider Name
Philip W Tally
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 3Rd Ave W, Bradenton, FL, 34205-8626
Phone Number
941-794-3118
Fax Number
941-782-2017
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
264537800 05 FL
264536000 05 FL
institution
Provider Business Practice Location Address Details
Address
200 3Rd Ave W
City
Bradenton
State
Florida
Zip
34205-8626
Phone Number
941-794-3118
Fax Number
941-782-2017
person
Provider Business Mailing Address Details
Address
200 3Rd Ave W
City
Bradenton
State
Florida
Zip
34205-8626
Phone Number
941-794-3118
Fax Number
941-782-2017
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
ME53442 (Florida)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME53442 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
ME53442 (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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