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Organization
MANATEE SPECIALTY PHYSICIAN ALLIANCE, LLC
Active
Organization
MANATEE SPECIALTY PHYSICIAN ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (VP - PHYS. OPERATIONS)
(610) 382-4422
Entity
Organization
Contact information
Practice address
714 MANATEE AVE E, BRADENTON, FL 34208-1235
(941) 212-2010
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(484) 913-7527
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
NULL
207VX0201X
Gynecologic Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
12/02/2022
Last updated
10/30/2023
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