Organization
GULFCOAST UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK P WEINTRAUB M.D. (PRESIDENT)
(941) 792-0340
Entity
Organization
Contact information
Practice address
200 3RD AVE WEST, SUITE 210, BRADENTON, FL 34205
(941) 792-0340
Mailing address
1850B 59TH ST W, BRADENTON, FL 34209-4630
(941) 792-0340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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