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Organization
MANATEE PHYSICIAN ALLIANCE LLC
Active
Organization
MANATEE PHYSICIAN ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENNIA JENNINGS (PRACTICE MANAGER)
(941) 753-7585
Entity
Organization
Contact information
Practice address
8340 LAKEWOOD RANCH BLVD, SUITE 140, LAKEWOOD RANCH, FL 34202-5180
(941) 782-2800
Mailing address
PO BOX 281741, ATLANTA, GA 30384-1741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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