Organization
CITYSIDE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR GREEN (CEO)
(941) 896-9966
Entity
Organization
Contact information
Practice address
5216 4TH AVENUE CIR E, SUITE 1, BRADENTON, FL 34208-5621
(941) 896-9966
(941) 896-9965
Mailing address
5216 4TH AVENUE CIR E, SUITE 1, BRADENTON, FL 34208-5621
(941) 896-9966
(941) 896-9965
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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