Organization
EAR, NOSE, AND THROAT ASSOCIATES OF MANATEE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN OVERBY CMPE (ADMINISTRATOR)
(941) 748-2455
Entity
Organization
Contact information
Practice address
701 MANATEE AVE W, SUITE 202, BRADENTON, FL 34205-8604
(941) 748-2455
(941) 750-9704
Mailing address
701 MANATEE AVE W, SUITE 202, BRADENTON, FL 34205-8604
(941) 748-2455
(941) 750-9704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME85106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99617
GROUP NUMBER
FL
Enumeration date
01/16/2007
Last updated
09/09/2024
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