Organization
MANATEE DIAGNOSTIC CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOWIS GRAHAM (EXECUTIVE DIRECTOR CFO)
(941) 747-3034
Entity
Organization
Contact information
Practice address
300 RIVERSIDE DR E, SUITE 4300, BRODENTON, FL 34208
(941) 747-3034
(941) 748-5819
Mailing address
300 RIVERSIDE DR E, SUITE 4300, BRODENTON, FL 34208
(941) 747-3034
(941) 748-5819
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376338200
—
FL
Enumeration date
10/05/2006
Last updated
01/21/2016
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