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Organization
SAMMY & DIVINCENZO, P.A.
Active
Organization
SAMMY & DIVINCENZO, P.A.
Active
Parent organization
BRADENTON PODIATRY CENTER
Other names
ELLENTON FOOT CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRADENTON PODIATRY CENTER
Authorized official
MRS. SHARON J HOEK (OFFICE MANAGER)
(941) 753-1234
Entity
Organization
Contact information
Practice address
7210 US HIGHWAY 301 N, ELLENTON, FL 34222-3444
(941) 729-5588
(941) 729-0012
Mailing address
7210 US HIGHWAY 301 N, ELLENTON, FL 34222-3444
(941) 753-1234
(941) 755-1332
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF1471
RAIL ROAD MEDICARE
FL
Enumeration date
08/27/2007
Last updated
04/20/2010
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