MANATEE SURGICAL CENTER LLC NPI 1508857871

NPI Information

NPI: 1508857871
Provider Name: MANATEE SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D0963924

Address:
601 MANATEE AVE W
BRADENTON, FL
ZIP 34205
Phone: (941) 745-2727
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MANATEE SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Bradenton, FL. MANATEE SURGICAL CENTER, LLC NPI is 1508857871. The provider is registered as an organization entity type.

The provider's business location address is:

601 MANATEE AVE W
BRADENTON, FL
ZIP 34205-610
Phone: (941) 745-2727
Fax: (941) 745-2112

The provider's authorized official is Dana J Weinkle .
The authorized official title is President and has the following contact phone number (941) 794-2020.

The CLIA number assigned to this NPI record is 10D0963924 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 3/14/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	1096	FLORIDA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	187360	OTHER	FLORIDA	STAY WELL
2	68D	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
3	490004511	OTHER		RAILROAD MEDICARE
4	170301000	OTHER		US DEPARTMENT OF LABOR
5	2273604	OTHER		AETNA
6	F1325	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

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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