Individual
DR. DALIBOR IRWING HRADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1312 MANATEE AVE E, BRADENTON, FL 34208-1358
(941) 708-7669
(941) 708-8893
Mailing address
PO BOX 499, PARRISH, FL 34219-0499
(941) 708-7669
(941) 708-8893
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35062245
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
ME98647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238844
—
OH
01
—
04862
BCBS
FL
05
—
279403900
—
FL
Enumeration date
06/01/2005
Last updated
01/22/2013
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