Organization
JACK PFEILSTICKER M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANDREW PFEILSTICKER MD (OWNER)
(941) 747-2282
Entity
Organization
Contact information
Practice address
4701 MANATEE AVE W, BRADENTON, FL 34209-3851
(941) 747-2282
(941) 757-0656
Mailing address
4701 MANATEE AVE W, BRADENTON, FL 34209-3851
(941) 747-2282
(941) 757-0656
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME46226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266225600
—
FL
Enumeration date
02/12/2007
Last updated
04/08/2011
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