Organization
BRADENTON GASTROENTEROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHONSO A BELISTO MD (PRESIDENT)
(941) 792-1430
Entity
Organization
Contact information
Practice address
2902 59TH ST W, SUITE C, BRADENTON, FL 34209-7023
(941) 792-1430
(941) 794-3716
Mailing address
2902 59TH ST W, SUITE C, BRADENTON, FL 34209-7023
(941) 792-1430
(941) 794-3716
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/15/2006
Last updated
02/27/2008
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