Organization
MANATEE URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD EVANS (VP)
(610) 382-4943
Entity
Organization
Contact information
Practice address
4647 MANATEE AVE W, BRADENTON, FL 34209-3816
(941) 745-5999
(941) 745-3555
Mailing address
367 S. GULPH ROAD, ATT: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(610) 382-4943
(610) 878-3965
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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