# TWO RIVERS MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TWO RIVERS URGENT CARE AND WELLNESS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639062946
- **Legal business name:** TWO RIVERS URGENT CARE AND WELLNESS
- **Authorized official:** MR. JAYA KRISHNA KOLLA MD (OWNER)
- **Authorized official phone:** (941) 226-0206

## Contact information

- **Practice address:** 2812 MANATEE AVE E, BRADENTON, FL 34208-1828
- **Practice address phone:** (941) 226-0206
- **Practice address fax:** (941) 900-1043
- **Mailing address:** 2810 MANATEE AVE E, 2810 MANATEE AVE E, BRADENTON, FL 34208-1828
- **Mailing address phone:** (941) 226-0206
- **Mailing address fax:** (941) 900-1043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2025
- **Last updated:** 07/22/2025