MANATEE DIAGNOSTIC CENTER, LTD (NPI# 1366710691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366710691 |
Entity Type | Organization |
Organization Name | MANATEE DIAGNOSTIC CENTER, LTD |
Practice Address |
11255 Us Hwy 301 North 105 Parrish FL 34219 |
Practice Telephone | 9417473034 |
Practice Fax Number | 9417485819 |
Mailing Telephone | 9417473034 |
Mailing Fax Number | 9417485819 |
Enumeration Date | 2011-12-01 |
Last Update Date | 2016-01-12 |
Authorized Official Name | DAVIS W GRAHAM (EXECUTIVE DIRECTOR/CFO) |
Authorized Official Telephone | 9417473034 |
Is Organization Subpart | Y |
Parent Organization Name | MANATEE DIAGNOSTIC CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME6540 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 48245500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
1689760993 | Manatee Diagnostic Center, Ltd | Clinic/Center | 300 Riverside Dr E, Suite 4300, Brodenton, FL 34208 | 2006-10-05 |
Street Address |
11255 US HWY 301 NORTH 105 |
City | PARRISH |
State | FL |
Zip Code | 34219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013254234 | Robert G Harb | Pharmacist | 8324 Us Hwy 301 North, Parrish, FL 34219 | 2013-01-08 |
1659640597 | Shannon L Paoli | Speech-Language Pathologist | 9707 50th Street Cir E, Parrish, FL 34219 | 2011-12-21 |
1952699845 | Lucy T White | Massage Therapist | 5971 Jim Davis Road, Parrish, FL 34219 | 2011-07-13 |
1336374230 | Molly P Gilbert | Speech-Language Pathologist | 15416 27th Ct E, Parrish, FL 34219 | 2009-05-20 |
1184729923 | Holiday Cvs LLC | Pharmacy | 8700 Us Hwy 301 N, Parrish, FL 34219 | 2006-09-14 |
1932155405 | Lura A. Springfels | Nurse Practitioner | 11235 Us 301 N, #101, Parrish, FL 34219 | 2006-05-26 |
1467003913 | Suncoast Speech Therapy | Speech-Language Pathologist | 9707 50th Street Cir E, Parrish, FL 34219 | 2019-09-26 |
1205338266 | Brittany Faith Carlisi | Nurse Practitioner | 12271 Us Highway 301 N, Parrish, FL 34219 | 2018-03-06 |
1487184180 | Hannah Walsh | Pediatrics | 12271 Us Highway 301 N, Parrish, FL 34219 | 2017-06-14 |
1538556675 | Joseph F. Lindley | Internal Medicine | 12271 Us Highway 301 N, Parrish, FL 34219 | 2015-04-15 |
Find all providers in zip 34219 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.