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Organization

EAST WEST HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA PELLETIER AP (OWNER)
(941) 744-9770
Entity
Organization

Contact information

Practice address
1216 13TH AVE W, BRADENTON, FL 34205-7345
(941) 744-9770
(941) 527-0223
Mailing address
1216 13TH AVE W, BRADENTON, FL 34205-7345
(941) 744-9770
(941) 527-0223

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
AP1663
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C0790
BCBS
FL
Enumeration date
03/23/2010
Last updated
04/29/2015
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