Organization
BRADENTON PATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY E. SENTENEY M.D. (PRESIDENT)
(305) 665-4614
Entity
Organization
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(305) 665-4614
(305) 667-0239
Mailing address
5901 SW 74TH ST, SUITE 202, MIAMI, FL 33143-5165
(305) 665-4614
(305) 667-0239
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260821900
—
FL
Enumeration date
10/12/2006
Last updated
01/16/2009
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