# MANATEE SPECIALTY PHYSICIAN ALLIANCE, LLC

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

## Provider details

- **NPI number:** 1881304624
- **Authorized official:** TODD EVANS (VP - PHYS. OPERATIONS)
- **Authorized official phone:** (610) 382-4422

## Contact information

- **Practice address:** 714 MANATEE AVE E, BRADENTON, FL 34208-1235
- **Practice address phone:** (941) 212-2010
- **Mailing address:** 367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
- **Mailing address phone:** (484) 913-7527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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