WEST FLORIDA TRAUMA NETWORK LLC NPI 1902198948

NPI Information

  • NPI: 1902198948
  • Provider Name: WEST FLORIDA TRAUMA NETWORK, LLC
  • Classification: Surgery - 2086S0127X
  • Specialization: Trauma Surgery
  • Entity Type: Organization
  • Address: 2010 59TH ST W
    SUITE 2200
    BRADENTON, FL
    ZIP 34209
  • Phone: (813) 453-0590

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryNo
22086S0127XSurgeryTrauma SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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