Organization
MANATEE SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA J WEINKLE M.D. (PRESIDENT)
(941) 794-2020
Entity
Organization
Contact information
Practice address
601 MANATEE AVE W, BRADENTON, FL 34205-8610
(941) 745-2727
(941) 745-2112
Mailing address
601 MANATEE AVE W, BRADENTON, FL 34205-8610
(941) 745-2727
(941) 745-2112
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170301000
US DEPARTMENT OF LABOR
—
01
—
187360
STAY WELL
FL
01
—
2273604
AETNA
—
01
—
490004511
RAILROAD MEDICARE
—
01
—
68D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/04/2005
Last updated
03/14/2012
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