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WEST FLORIDA TRAUMA NETWORK LLC NPI 1902198948


NPI Information

NPI: 1902198948
Provider Name: WEST FLORIDA TRAUMA NETWORK, LLC
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
2010 59TH ST W
SUITE 2200
BRADENTON, FL
ZIP 34209
Phone: (813) 453-0590
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WEST FLORIDA TRAUMA NETWORK, LLC is a trauma surgery surgery in Bradenton, FL. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. WEST FLORIDA TRAUMA NETWORK, LLC NPI is 1902198948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2010 59TH ST W
SUITE 2200
BRADENTON, FL
ZIP 34209-616
Phone: (813) 453-0590

The provider's authorized official is William Tedrick Johnson .
The authorized official title is Group Vice President/ao and has the following contact phone number (615) 372-3375.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 10/15/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryNo
22086S0127XSurgeryTrauma SurgeryYes

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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