Organization
MANATEE PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FARRELL (OWNER)
(305) 665-4614
Entity
Organization
Contact information
Practice address
8330 LAKEWOOD RANCH BLVD, LAKEWOOD RANCH, FL 34202-5174
(305) 666-2427
(305) 666-1065
Mailing address
1500 SAN REMO AVE, SUITE 280, CORAL GABLES, FL 33146-3043
(305) 666-2427
(305) 666-1065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME31656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273956901
—
FL
Enumeration date
05/19/2011
Last updated
10/22/2021
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