Organization
BRADENTON INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROCHELLE ANN ROMINES (OFFICE MANAGER)
(941) 748-3065
Entity
Organization
Contact information
Practice address
701 MANATEE AVE W, SUITE 101, BRADENTON, FL 34205-8604
(941) 748-3065
(941) 748-8485
Mailing address
701 MANATEE AVE W, SUITE 101, BRADENTON, FL 34205-8604
(941) 748-3065
(941) 748-8485
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME41570
FL
Other
Enumeration date
12/12/2006
Last updated
04/28/2010
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