MANATEE CARDIOLOGY ASSOCIATES LLC NPI 1720341068

NPI Information

NPI: 1720341068
Provider Name: MANATEE CARDIOLOGY ASSOCIATES, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D2098422

Address:
316 MANATEE AVE W
BRADENTON, FL
ZIP 34205
Phone: (941) 748-2277
Get Directions

MANATEE CARDIOLOGY ASSOCIATES, LLC is a cardiovascular disease internal medicine in Bradenton, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MANATEE CARDIOLOGY ASSOCIATES, LLC NPI is 1720341068. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

316 MANATEE AVE W
BRADENTON, FL
ZIP 34205-805
Phone: (941) 748-2277

The provider's authorized official is Todd Evans .
The authorized official title is Vp and has the following contact phone number (610) 768-3300.

The CLIA number assigned to this NPI record is 10D2098422 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2012 and was last updated on 1/20/2022.

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	Primary
1	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	No
3	363L00000X	Nurse Practitioner		No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	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	003RJ	OTHER	FLORIDA	BCBS
2	006518100	MEDICAID	FLORIDA
3	DT1951	OTHER	FLORIDA	RR MEDICARE

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

NPI Synchronization or Removal

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