Organization
BRADENTON EYE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIAQUAT ALLARAKHIA M.D., (PRESIDENT)
(941) 727-3937
Entity
Organization
Contact information
Practice address
4812 26TH ST W, BRADENTON, FL 34207-1705
(941) 727-3937
(941) 727-7001
Mailing address
4812 26TH ST W, BRADENTON, FL 34207-1705
(941) 727-3937
(941) 727-7001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0066629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377028100
—
FL
Enumeration date
01/05/2011
Last updated
01/05/2011
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