# DR DANUTA B FABISIAK PA

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

## Provider details

- **NPI number:** 1144567868
- **Authorized official:** DR. DANUTA B FABISIAK D.O. (PRESIDENT)
- **Authorized official phone:** (941) 795-7222

## Contact information

- **Practice address:** 2110 58TH ST W, BRADENTON, FL 34209-5660
- **Practice address phone:** (941) 795-7222
- **Practice address fax:** (941) 795-7335
- **Mailing address:** 2110 58TH ST W, BRADENTON, FL 34209-5660
- **Mailing address phone:** (941) 795-7222
- **Mailing address fax:** (941) 795-7335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | OS8474 | FL | Yes |

## Other

- **Enumeration date:** 01/15/2013
- **Last updated:** 01/15/2013
