Organization
BRADENTON WOMEN'S CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURICHYA SURATTANONT MD (PRESIDENT)
(941) 708-5045
Entity
Organization
Contact information
Practice address
3950 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 708-5045
Mailing address
3950 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 708-5045
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/14/2005
Last updated
08/22/2020
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