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Organization

SUNCOAST RETINA INSTITUTE, P.L.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER G LIVINGSTON M.D. (PRESIDENT/PHYSICIAN)
(941) 567-4078
Entity
Organization

Contact information

Practice address
4916 26TH ST W, STE 200, BRADENTON, FL 34207-1712
(941) 567-4078
(941) 869-7878
Mailing address
4916 26TH ST W, STE 200, BRADENTON, FL 34207-1712
(941) 567-4078
(941) 869-7878

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
03/29/2012
Last updated
03/29/2012
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