Organization
MANATEE PATHOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FARRELL M.D. (AUTHORIZED OFFICIAL)
(941) 745-7311
Entity
Organization
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1042
(305) 665-4614
(305) 667-0239
Mailing address
PO BOX 3093, BOCA RATON, FL 33431-0993
(941) 745-7311
(941) 745-7903
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273956900
—
FL
05
—
273956901
—
FL
Enumeration date
09/14/2006
Last updated
11/14/2021
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