# BRADENTON EYE CLINIC INC

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

## Provider details

- **NPI number:** 1154625168
- **Authorized official:** DR. LIAQUAT ALLARAKHIA M.D., (PRESIDENT)
- **Authorized official phone:** (941) 727-3937

## Contact information

- **Practice address:** 4812 26TH ST W, BRADENTON, FL 34207-1705
- **Practice address phone:** (941) 727-3937
- **Practice address fax:** (941) 727-7001
- **Mailing address:** 4812 26TH ST W, BRADENTON, FL 34207-1705
- **Mailing address phone:** (941) 727-3937
- **Mailing address fax:** (941) 727-7001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME0066629 | FL | Yes |

## Other

- **Enumeration date:** 01/05/2011
- **Last updated:** 01/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 377028100 | — | FL |