Organization
AXCESS DIAGNOSTICS BRADENTON LLC
Active
Organization
AXCESS DIAGNOSTICS BRADENTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M. MILEY M.D. (MANAGING DIRECTOR)
(713) 526-5771
Entity
Organization
Contact information
Practice address
5101 4TH AVENUE CIR E, SUITE 100, BRADENTON, FL 34208-5630
(941) 782-0414
(941) 782-0418
Mailing address
PO BOX 447, VENICE, FL 34284-0447
(941) 488-5791
(941) 377-7975
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277996000
—
FL
Enumeration date
06/02/2006
Last updated
10/10/2008
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