MANATEE GYNECOLOGY LLC NPI 1578077970

NPI Information

  • NPI: 1578077970
  • Provider Name: MANATEE GYNECOLOGY LLC
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • CLIA Number: 10D2144788
  • Address: 2310 60TH STREET CT W
    BRADENTON, FL
    ZIP 34209
  • Phone: (941) 792-4993

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NPI Details

MANATEE GYNECOLOGY LLC is a gynecology obstetrics gynecology in Bradenton, FL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MANATEE GYNECOLOGY LLC NPI is 1578077970. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2310 60TH STREET CT W
BRADENTON, FL
ZIP 34209-609
Phone: (941) 792-4993

The provider's authorized official is Kinnari Desai .
The authorized official title is Owner and has the following contact phone number (941) 792-4993.

The CLIA number assigned to this NPI record is 10D2144788 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/21/2017 and was last updated on 12/7/2017.

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
1207VG0400XObstetrics & GynecologyGynecologyYes

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: 11/21/2025

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