# BRADENTON ENDOCRINOLOGY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033460001
- **Authorized official:** DR. LILLIBET MATHEW PLACHERIL M.D. (OWNER)
- **Authorized official phone:** (941) 795-1915

## Contact information

- **Practice address:** 1906 59TH ST W STE B, BRADENTON, FL 34209-4639
- **Practice address phone:** (941) 795-1915
- **Practice address fax:** (941) 795-2715
- **Mailing address:** 1906 59TH ST W STE B, BRADENTON, FL 34209-4639
- **Mailing address phone:** (941) 795-1915
- **Mailing address fax:** (941) 795-2715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME63167 | FL | Yes |

## Other

- **Enumeration date:** 09/30/2012
- **Last updated:** 04/20/2018