# FAMILY DOCTORS OF BRADENTON INC

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

## Provider details

- **NPI number:** 1104989995
- **Authorized official:** AUDREY LAURENZ DO (OWNER)
- **Authorized official phone:** (941) 748-8069

## Contact information

- **Practice address:** 3303 MANATEE AVE W, BRADENTON, FL 34205-2550
- **Practice address phone:** (941) 748-8069
- **Practice address fax:** (941) 748-6609
- **Mailing address:** 3303 MANATEE AVE W, BRADENTON, FL 34205-2550
- **Mailing address phone:** (941) 748-8069
- **Mailing address fax:** (941) 748-6609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 08/22/2020