# BRADENTON PATHOLOGY PA

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

## Provider details

- **NPI number:** 1780978361
- **Authorized official:** GARY E SENTENEY MD (PRESIDENT)
- **Authorized official phone:** (305) 666-2427

## Contact information

- **Practice address:** 5105 MANATEE AVE W, BRADENTON, FL 34209-3715
- **Practice address phone:** (305) 666-2427
- **Practice address fax:** (305) 666-1065
- **Mailing address:** 1500 SAN REMO AVE, SUITE 280, CORAL GABLES, FL 33146-3043
- **Mailing address phone:** (305) 666-2427
- **Mailing address fax:** (305) 667-0239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | ME39899 | FL | Yes |

## Other

- **Enumeration date:** 06/01/2011
- **Last updated:** 06/01/2011