Organization
MANATEE GYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINNARI DESAI MD (OWNER)
(941) 792-4993
Entity
Organization
Contact information
Practice address
2310 60TH STREET CT W, BRADENTON, FL 34209-6609
(941) 792-4993
Mailing address
2310 60TH STREET CT W, BRADENTON, FL 34209-6609
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
12/07/2017
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