Individual
MR. TED F KADIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
250 2ND ST E, SUITE 4C, BRADENTON, FL 34208-1029
(941) 744-5860
(941) 744-5681
Mailing address
250 2ND ST E, SUITE 4C, BRADENTON, FL 34208-1029
(941) 744-5860
(941) 744-5681
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0068030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27168
INDIVIDUAL
FL
05
—
377823100
—
FL
01
—
593650291
INDIVIDUAL
FL
Enumeration date
07/06/2006
Last updated
01/19/2017
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