Organization
BRADENTON MEDICAL ENTERPRISES, INC.
Active
Other names
Physicians Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
ARTURO FERNANDEZ (VICE PRESIDENT)
(305) 651-3261
Entity
Organization
Contact information
Practice address
4802 GRAND BLVD, NEW PORT RICHEY, FL 34652-5106
(727) 815-8385
(727) 848-7943
Mailing address
19559 NE 10TH AVE, N MIAMI BEACH, FL 33179-3501
(305) 651-3261
(305) 651-2961
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209756701
—
FL
01
—
R8226
BC BS FLORIDA
FL
Enumeration date
07/19/2006
Last updated
05/03/2010
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