# ERVIN E. BERNOTUS MD, P.A.

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

## Provider details

- **NPI number:** 1750658886
- **Authorized official:** DR. ERVIN EUGENE BERNOTUS M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (941) 753-4400

## Contact information

- **Practice address:** 8625 54TH DR E, BRADENTON, FL 34211-9456
- **Practice address phone:** (941) 753-4400
- **Practice address fax:** (941) 753-4408
- **Mailing address:** 8625 54TH DR E, BRADENTON, FL 34211-9456
- **Mailing address phone:** (941) 753-4400
- **Mailing address fax:** (941) 753-4408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME88550 | FL | Yes |
| 2081P0004X | Spinal Cord Injury Medicine Physician | ME88550 | FL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | ME88550 | FL | — |

## Other

- **Enumeration date:** 11/17/2011
- **Last updated:** 11/17/2011