Organization
MANATEE SURGICAL SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A. SAMIR HASSAN MD (PRESIDENT)
(941) 748-6099
Entity
Organization
Contact information
Practice address
201 4TH AVE E, SUITE 2, BRADENTON, FL 34208-1043
(941) 748-6099
(941) 747-5061
Mailing address
201 4TH AVE E, SUITE 2, BRADENTON, FL 34208-1043
(941) 748-6099
(941) 747-5061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME37646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH3341
RAILROAD MEDICARE FLORIDA
FL
Enumeration date
10/31/2006
Last updated
01/10/2013
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