Organization
MANATEE HEARING & SPEECH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY P RODRIGUEZ PHD (EXECUTIVE DIRECTOR)
(941) 749-5222
Entity
Organization
Contact information
Practice address
8648 E STATE ROAD 70, RANCH LAKE PLAZA, BRADENTON, FL 34202-3785
(941) 749-5222
(941) 749-1839
Mailing address
701 MANATEE AVE W, SUITE 201, BRADENTON, FL 34205-8604
(941) 749-5222
(941) 749-1839
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8207561
AETNA
FL
Enumeration date
07/23/2012
Last updated
11/15/2013
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