Organization
DIGESTIVE DISEASE SPECIALIST OF MANATEE PL
Active
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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