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Organization

DIGESTIVE DISEASE SPECIALIST OF MANATEE PL

Active
Other names
DDSOM
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RIMANTAS ZALEPUGA M.D. (MEMBER)
(941) 761-1800
Entity
Organization

Contact information

Practice address
4502 CORTEZ RD W STE 204, BRADENTON, FL 34210-3124
(941) 761-1800
Mailing address
PO BOX 15089, BRADENTON, FL 34280-5089
(941) 761-1800
(941) 761-1883

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME85682
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271367500
FL
01
6102336
CIGNA
FL
01
74735
BCBS
FL
01
9751349
GHI
FL
01
DC1249
RAIL ROAD MEDICARE
FL
Enumeration date
03/12/2007
Last updated
08/11/2021
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