Organization
BRADENTON ENDOCRINOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIBET MATHEW PLACHERIL M.D. (OWNER)
(941) 795-1915
Entity
Organization
Contact information
Practice address
1906 59TH ST W STE B, BRADENTON, FL 34209-4639
(941) 795-1915
(941) 795-2715
Mailing address
1906 59TH ST W STE B, BRADENTON, FL 34209-4639
(941) 795-1915
(941) 795-2715
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME63167
FL
Other
Enumeration date
09/30/2012
Last updated
04/20/2018
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