# PHILIP S RASULO MD PA

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

## Provider details

- **NPI number:** 1720310345
- **Authorized official:** PHILIP RASULO (OFFICER)
- **Authorized official phone:** (941) 746-0120

## Contact information

- **Practice address:** 724 39TH ST W, BRADENTON, FL 34205-2454
- **Practice address phone:** (941) 746-0120
- **Mailing address:** 724 39TH ST W, BRADENTON, FL 34205-2454
- **Mailing address phone:** (941) 746-0120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME37155 | FL | Yes |

## Other

- **Enumeration date:** 02/07/2010
- **Last updated:** 02/07/2010