CORTEZ FOOT SURGERY CENTER P.A. NPI 1225077241

NPI Information

CORTEZ FOOT SURGERY CENTER, P.A. is an ambulatory surgical clinic center in Bradenton, FL. CORTEZ FOOT SURGERY CENTER, P.A. NPI is 1225077241. The provider is registered as an organization entity type.

The provider's business location address is:

1800 CORTEZ RD W
SUITE B
BRADENTON, FL
ZIP 34207-335
Phone: (941) 758-4608
Fax: (941) 758-4438

The provider's authorized official is Cara L Olson .
The authorized official title is Credentialing and has the following contact phone number (941) 758-4608.

The CLIA number assigned to this NPI record is 10D1087058 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 1/3/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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