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PREMIER OBGYN ASSOCIATES PLLC NPI 1164460143


NPI Information

NPI: 1164460143
Provider Name: PREMIER OBGYN ASSOCIATES PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 10D1025852

Address:
5323 4TH AVENUE CIR E
BRADENTON, FL
ZIP 34208
Phone: (941) 745-5115
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PREMIER OBGYN ASSOCIATES PLLC is an obstetrics gynecology in Bradenton, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PREMIER OBGYN ASSOCIATES PLLC NPI is 1164460143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5323 4TH AVENUE CIR E
BRADENTON, FL
ZIP 34208-623
Phone: (941) 745-5115
Fax: (941) 567-1000

The provider's authorized official is Aaron Matthew Sudbury .
The authorized official title is Managing Director and has the following contact phone number (941) 745-5115.

The CLIA number assigned to this NPI record is 10D1025852 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/3/2006 and was last updated on 3/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyME89915FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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