| Bradenton Gastroenterology Pa | |
|
2902 59th St W Suite C Bradenton FL 34209-7023 | |
| (941) 792-1430 | |
| (941) 794-3716 |
| Full Name | Bradenton Gastroenterology Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2902 59th St W, Bradenton, Florida |
| Authorized Official Name and Position | Alphonso A Belisto (PRESIDENT) |
| Authorized Official Contact | 9417921430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradenton Gastroenterology Pa 2902 59th St W Suite C Bradenton FL 34209-7023 Ph: (941) 792-1430 | Bradenton Gastroenterology Pa 2902 59th St W Suite C Bradenton FL 34209-7023 Ph: (941) 792-1430 |
| NPI Number | 1023069945 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023069945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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