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Organization

MANATEE SPECIALTY PHYSICIAN ALLIANCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD EVANS (VP - PHYS. OPERATIONS)
(610) 382-4422
Entity
Organization

Contact information

Practice address
714 MANATEE AVE E, BRADENTON, FL 34208-1235
(941) 212-2010
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(484) 913-7527

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
207VX0201X
Gynecologic Oncology Physician
207X00000X
Orthopaedic Surgery Physician
Primary
2084N0400X
Neurology Physician
208600000X
Surgery Physician

Other

Enumeration date
12/02/2022
Last updated
10/30/2023
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